Organization InformationOrganization NameOrganization PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact PersonTitleEmail Total Organization Budget# FT Staff# PT Staff# Volunteers# of Board Members% of Board Members who financially support the organizationProvide a brief history of your organization and its mission.Program or Project InformationPlease complete all sections and stay within the word limits specified.Project TitleProject BudgetAmount RequestedPlease indicate which area best fits this project/program:AnimalsArts & CultureCommunity ProjectsEducationEnvironmentHealth & WellnessSocial ServicesSports & RecreatioProject/program timeline, including begin date and end date:Timeline ItemStart DateEnd Date 1) Describe your project, service or program and the program goals2) Please identify the targeted population and estimated number of people being served by this project/program.3) How will the program / project benefit Encinitas?4. Project Budget a. Please list your entire project/program budget. For which budget items are you requesting support from the Encinitas Fund?Expense/Item DescriptionAmountAmount Requested from Encinitas Fund 4. Project Budget b. What other sources of income to you have for the project/program? (Foundation grants, individual donations, event income, etc.)CAPTCHANameThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.