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FIND A RADIATION ONCOLOGIST

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Survivor Circle Grant Application

General Information:
General Information
About Your Organization:
About Your Organization
Organizations Mission:
What is your organization’s mission?
Organization Activities:
What are some of the activities your organization participates in?
Grant Money Use:
What would you use the grant money for?
Budgeting:
Budgeting
Program Budget:
Please give us a budget for this program.
Admin Costs:
What percentage of your funding goes toward administrative costs?
Annual Budget:
What is your annual budget?
FTEs:
How many FTEs do you employ?
Community Impact:
Community Impact
Organization Structure:
Describe the structure of your organization and relationship to the community being served.
Target Demographics:
Describe your target community’s demographics and the demographics of the population you reach.
New Program?:
If this is to fund a startup of a new program, describe how it will continue when the Survivor Circle grant funding ends.