Date* MM slash DD slash YYYY Agency Name* Contact Name* Contact Title* Phone*Email* Amount requested* Tell us about your agency and the clients you serve.*What is your geographic area of service?*Do you serve without boundaries? (If so, please explain why?)*Program/project description*How could this funding help you better serve clients?Please explain how this project or program aligns with the three areas of focus for this funding opportunity.*1.) Accessibility: Funding will support projects and programs that offer easy access to nutritious food that meets the cultural and health needs of clients served. 2.) Client-Centered: Funding will support projects and programs that make the client the center of all decisions. 3.) Equitable: Funding will support projects and programs that serve clients fairly and impartially, specifically reducing disparities across our community.Budget*Please attach a detailed budget for your request.Max. file size: 10 MB.Supporting DocumentationIf applicable, please attach bids related to your request.Max. file size: 10 MB.Is there any additional information you'd like our committee to know?CAPTCHA