Youth-Led Nonprofit Grant Disbursement Template

Organization Details

Legal Name of Organization Contact Person (Name & Title) Email Phone Number Address

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Grant Details

Project/Initiative Title Grant Amount Grant Purpose/Description Grant Period

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Disbursement Schedule

First Disbursement Date First Disbursement Amount Second Disbursement Date (if applicable) Second Disbursement Amount (if applicable) Additional Disbursement Notes

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Reporting & Evaluation

Reporting Requirements Reporting Deadline(s)

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Authorized Signatures

Authorized Representative - Youth-Led Nonprofit Date Authorizing Agency / Grantmaker Representative Date