Individual Grant Application for Individual "*" indicates required fields Project Name*Name of Applicant* First Last Applicant Phone #*Applicant Email Address* Mailing Address* Street Address Address Line 2 City State and Zip code TOTAL Cost of Proposed Project*Amount Requested from LNPS*List Funding from Other Sources (if any) Add RemoveGeographic area to be served*Taxable Funds I understand that these funds may be taxable and will submit a W-9 form upon requestI understand that any funds awarded may be taxable and will submit a W-9 form upon request.Project Reporting I agree to report on the status and completion of my project on requestI agree to report on the status and completion of my project including expense reports and receipts on request and understand that I may be invited to present my findings or the details of my project at the LNPS annual Conference.Upload Your Detailed Concept Paper*Max. file size: 10 MB.Download the concept paper guidelines here. EmailThis field is for validation purposes and should be left unchanged. Δ
