http://www.uwnoble.org/form/2019-power-purse-special-grant-application 1 Start 2 Application Preview 3 Complete Page 1 of 3 Organization * Organizational Mission * Project Name * Fiscal Agent (if applicable) Primary Contact * Primary Contact - Title * Primary Contact - Phone * Primary Contact - Address * Primary Contact - Email * Project Summary * Please provide a brief overview of the project. Detailed Project Description * Please provide a description of the project including: purpose, anticipated results, sustainability, location, planning and implementation timeline, targeted population, expected number of individuals served, and the impact this project has on the individuals served. Project Collaboration (if applicable) Are other community partners involved with this project? If yes, please explain. What other organizations are doing similar work in the community? How do you partner with these organizations? Leadership * What is the leadership structure of your organization or group? Who are the key leaders for this project and what are their roles? Financials - 1 * Please attach a project budget. Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc ppt xls. Financials - 2 * Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc ppt xls.