Laserfiche WebLink
***BfGINhUEWSECT7ON— °*** <br />Progranm/SerwiceInfmrn,ation <br />1. Program/Service Name <br />2. Number of years the program/service you are applying for has been in operation. <br />3. Has your organization submitted, or does it plan to submit, two Waiwai Grant applications for a <br />pro0ram/semiceon its own behalf? Please note that applications submitted through <br />nonprofit fiscal sponsor do not count toward your organization's two -application limit. <br />o Yes o No <br />� <br />(Note for the programmer: Only allow question #4 to be prompted if the applicant selects "Yes"' for <br />question #3.) <br />4. Please name which program/service your organization is applying for under the Waiwai Grant <br />that you consider the highest priority for funding. <br />5. For the program/service for which you are applying, do you currently have or anticipate having <br />any other contracts/agreements with any other department of the County of Hawai'i during <br />the fiscal year ofthis grant cycle (July 1,2O2G'June 3O,2O26\? <br />o Yes o No <br />6. if you answered "yes" to the previous question, please tell us with what department and briefly <br />describe the contract/agreement deliverables. <br />7. Have you previously applied for and received a County Nonprofit Grant Award within the last <br />five years? <br />o Yes o No <br />8. If you answered yes, please complete this table: <br />Program/Service Name <br />Amount of Grant Award <br />9. Select all areas of Hawai'i Island where the program/service will be administered, delivered, <br />and implemented. <br />F]Puna F-]H5m5kua [—lNorthKona <br />F� F� [� <br />�_/SouthHi|o North ��5outhKona <br />10. If multiple boxes were checked in the previous question, please briefly describe your capacity <br />and plan to outreach to those geographic areas. <br />