2025 Community Outreach Award Program Project Proposal
Due Monday, March 3, 2025
Support Group Leader Name
*
First Name
Last Name
Support Group Leader Email
*
example@example.com
Support Group Name
*
Area served
*
Project Proposal Name
*
Amount of Award Requested (up to $3000)
*
Will you accept partial funding?
Yes
No
Does your support group have rollover funds from 2024? If yes, please provide amount.
Project Category
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Community (including food allergy families and/or general public)
Schools: Early education, K-12, College
Workplace (including adults with food allergies)
Other
What population(s) of community members will be served through this project? [Select all that apply]*
*
Children with food allergies
Caregivers of children with food allergies
Adults with food allergies
Healthcare professionals
School professionals
School community
General public
Underserved communities (underresourced, less access to medical care)
Other
Provide a brief summary of how you intend to use project funding. Include overall goal(s) and strategy for project plan.*
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List your objective(s) for this project.*
*
How will you demonstrate and measure success for your objectives?*
*
What organizations, groups or companies will you collaborate and/or partner with to fulfill your project objectives.*
*
How will the food allergy community benefit from this project?*
*
Do your project initiatives and/or activities increase access to care and resources within underrepresented, underserved, or under-resourced communities?*
*
Yes
No
Please upload your budget plan here.
*
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Please provide a W9 to be used for the support group.
*
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I understand that funding is not guaranteed, as applications are selected competitively.*
*
Yes
No
Signature
Date
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Month
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Day
Year
Date
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