Ken Fovargue Grant ApplicationApplicant's Name*Name of Organization*Address of Organization* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Project Name*Person(s) Responsible for Disbursement of Grant Funds*1. Give a brief description of your fire service area (demographics, size, etc.)*2. Describe your project/event*3. If these funds will aid in the development of a new project, how will you ensure its continuation after grant monies are depleted?*4. Describe your target audience.*5. How will you evaluate the project?*Digital Signature (enter your full name)*Fire Chief's Name*By checking this box, you certify that all the information on this form is true and correct.* Accept