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Thank you for your interest in the Komen Wyoming Affiliate grants program. Please download and complete the forms below to apply for funding. To be eligible to apply for a Komen Community-Based Grant, your organization must be:
RFA - Request for Application to also view the continuum of care model, click here
Applications should include:
Attachments:
1. Information regarding Key Personnel – For key personnel that are currently employed by the applicant, provide a resume or curriculum vitae. For new or vacant positions, provide job descriptions (Two page limit per individual).
2. Proof of Non-Profit Status – To document your federal tax-exempt status, attach your determination letter from the Internal Revenue Service. Evidence of state or local exemption will not be accepted. Please do not attach your Federal tax return.
3. Letters of support, collaboration, MOUs, etc. demonstrating your partnerships.
4. Evaluation forms, surveys, logic model, etc. related to demonstrating the effectiveness of your program as defined in your work plan.
Important Dates:
Pre-application Workshop We strongly encourage all applicants to attend a Pre-Application Workshop before applying for a grant from the Wyoming Affiliate. The 2012-2013 Grants Pre-Application Workshop will be held April 9, 2012 via conference call at 10:30am. Please RSVP to execdirector@komenwyoming.org. Please plan on attending this workshop. Call in directions will be sent once you have RSVPed.
Application Deadline is May 15. Please submitt the required copies and all supporting documents to PO Box 20594 Cheyenne WY 82003 via USPS (Please no certified mail) or electronically to execdirector@komenwyoming.org.
Award notice will be Mid-June
Award period will be July 2012 through March 31, 2013. Please note that this will be a nine month grant cycle.
Thank you for your interest in the 2012-2013 grants cycle.
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