Name of Organization:
Organization Address, City, State, Zip:
Summary of Request (100 words or less - what specifically will the JL funds be used for?)
Descriptions of your Organization
If avaliable, please upload your Board of Directors listing and terms.
Sources of Funding for current fiscal year (List amounts for each and explain when necessary)
Description of Specific Program for which Funding is being Requested
Project Proposal Description:
What East Baton Rouge issue(s) is your project addressing?
Why is this issue important to our community?
What are the mission, vision and goals of your project?
Detail exactly what demographic and how many people will be impacted/served through this project.
Please indicate your proposal’s area of impact (check all that apply):