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Basic Needs

Preliminary Grant Application Form

Basic Needs Preliminary Form
Does your organization provide services within the Fox Valley?
If you answered no, are you partnering with another organization who provides services within the Fox Valley?
Identify the impact area(s) your grant request falls under:
Please indicate if your request will be a single or multi-year grant. If you're requesting a multi-year grant, please include the amount needed for each year.