Hermanowski Family Foundation Initial Request Form

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Organization Name: Community Students Learning Center
Legal Name (if Different):
Also Known As:
Mailing Address: 333 Yazoo Street
City: Lexington
State: MS
Postal Code: 39095
Main Phone: 6628340905
Main Fax: 6628340906
Organization Website: communitystudentlearning/org
Employer ID Number: 861079263
Organization Tax Status: 501c3

Proposal Information

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Today’s Date: February 4, 2024
Requested Amount: 10,000.00

Project Title:
Project Description:

Total Project Budget: 10,000.00

Other Funding
Sources For The Project (Committed & Potential):

Project Duration:
Geographical Area Served:
Age Group To Be Served:

Contact Information

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Contact Prefix (Mr,Mrs etc.): Mrs.
Contact First Name: Beulah
Contact Last Name: Greer
Contact Title: Executive Director
Contact Phone: 6628340905
Contact Email: