Matching Grant Application

A. Applicant Information

Name

Professional Title

Role in Project

Affiliation

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone Number

Email Address

Signature *

Date Submitted

Project

Title of the Project

C. Project DescriptionMatching Grants support educational, humanitarian, philanthropic and other projects consistent with the mission of NAAMA, the National Arab American Medical Association. In this section, describe in detail the need that your project and the funding will address, the intent of the project, how the project will be implemented.

2. Site 12. Please provide the names of the project locations or sites, such as the city or village, state or province, and country or other identifier. You must list at least 2 locations.

2. Site 2

Other Sites

3. Describe how the project will benefit the communities in need. You must identify at least two distinct communities. Provide estimated time needed to complete project.3. Describe how the project will benefit the communities in need. You must identify at least two distinct communities. Provide estimated time needed to complete project.

4. Describe how the benefiting communities will maintain this project after grant funding has been fully expended.4. Describe how the benefiting communities will maintain this project after grant funding has been fully expended.

D. Collaborating GroupsNAAMA believes that successful projects require collaboration among multiple institutions to benefit diverse populations. Please identify the collaborating Groups.

Collaborating Group #1:

Collaborating Group #2:

Other Collaborating Groups:

E. The BeneficiariesNAAMA is interested in programs that benefit multiple groups of beneficiaries in diverse backgrounds. Please identify at least two different groups of beneficiaries from this project.

Beneficiary Group #1:

Beneficiary Group #2:

Other Beneficiary Group:

F. Budget

Donwload Sample Budget file, then upload it using the upload section

download>Click here to download the file

Upload Budget & Fiance File

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Upload the Budget & Fiance file after filling it, rename it with the project name

Matching Grant Application

Matching Grant Application

H. Filing Instructions: Click the submit button

Or: Return completed form by email to naama@naama.com Or: Mail to NAAMA, 2265 Livernois Rd Suite 720, Troy, MI 48083

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