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Grant Application – Vernon Library Supplies, Inc.

For 2018 Program(s) that Focus on

English Literacy for New Immigrants

 Principal Contact(s):

  • Name, Title, Address, Telephone, Fax, and E-mail



  • Name, tax exempt status (please provide appropriate accompanying documents attesting to such), Address, Telephone, Fax, and E-mail (if different from above)


Description of program:

  1. a. Title
  2. b. Stated mission (if there is one)
  3. c. For 2017 Program  (if currently existing) and for 2018 Proposed Program: description (not to exceed two pages, single spaced, Times New Roman 12) – Include population demographic and number of people served, average number of hours of instruction per student, nature of instruction, and other relevant information that describes the program
  4. d. Projected program budget for 2018 (not to exceed one page)– provide breakdown by expense categories and sources of funding
  5. e. For 2017 Program  (if currently existing) and for 2018 Proposed Program: Number and description of personnel involved in program, including volunteers (not to exceed one page)
  6. f. Current total budget for 2017 program, including sources of funding
  7. g. Program outcomes/performance metrics (not to exceed one page)



Sign and date the following statement on a separate page.

“I certify that the statements herein are true, complete, and accurate to the best of my knowledge.”


Deadline for Submission is October 31, 2017

Submit application via email to [email protected]