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Version 10/2013 1
U.S. Embassy in Freetown, Sierra Leone
Public Affairs Section
GRANT APPLICATION FORM
The application must be submitted in English. Please type or print neatly.
______________________________________________________________________
Name of the project:
_______________________________________________________________________
Organization Name:
________________________________________________________________________
Project Theme (for example: youth leadership, media sensitization, women’s
empowerment, peaceful elections, environment)
$
________________________________________________________________________
Amount Requested (U.S. dollars):
________________________________________________________________________
Project Leader Name and Contact Information (phone, e-mail, fax, etc.).
Yes No If yes, when:
________________________________________________________________________
Have you ever received a grant from the U.S. Embassy? Circle yes or no.
_______________________________________________________________________
DUNS number. Applicants are required to have a Data Universal Numbering System Number.
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