Tribal Gaming Community Application Briefing

Tribal Gaming Community Applying To

Name of the Non-profit Organization

Does the Non-profit Organization have IRS Tax-Exempt Status?

Yes

No

Contact Information

Contact First Name

Contact Last Name

Contact Email

Contact Phone Number

Application Priority Areas

Child Advocacy

Cultural & Environmental Development and Protection

Economic Development

Education

Health Care

Public Safety

Title of the Project

Amount Intended to Request

Purpose of the Grant

Project Summary

Impact on the City of Chandler

Address of Non-profit Organization the City of Chandler will Send the Tribal Community Grant Payment

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Contact Name for Receipt of Payment

First Name

Last Name

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