Broadband Grant Application
Organization Information
Organization Name
Type of Nonprofit
EIN (Tax ID)
Address
Contact Person
Phone Number
Email
Project Information
Project Title
Project Summary
Project Location(s)
Project Goals & Objectives
Project Partners (if any)
Requested Funding
Total Amount Requested ($)
Budget Summary
Matching Funds/Other Funding Sources
Additional Information
Intended Beneficiaries
How Will Impact Be Measured?
Project Timeline