Cover Sheet
for Demonstration Project
Printable version of cover sheet
Name of person submitting Letter of Interest: __________________________
Agency / Organization (if applicable): ________________________________
Address: ______________________________________________________
City: ____________________State: _____ Zip: _______________________
Phone number: Fax: _____________________________________________
Email address: _________________________________________________
Website: ______________________________________________________
Size/type of community?
__ Rural
__ Urban
__ Other (pleased describe)
Who do you primarily serve?
__ Transgender community
__ Sexual assault survivors
__ Other
Commitment and understanding. Please check the box next to the phrase to show your agreement.
__ If my city/community is selected, I am committed to being actively involved and working through the duration of the project.
__ I understand that FORGE will supply free technical support and training and that no funds will be available to my organization through FORGE.
Please return this form with your Letter of Interest to:
AskFORGE [at] forge-forward [dot] org or
FORGE
PO Box 1272
Milwaukee, WI 53201
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