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Step
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of
5
- Basic Information
20%
Applicant Information
Organization Name
Primary Contact Name
Title / Position
Phone
Email
Organization Website
Organization Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Eligibility Confirmation
Is your organization within Taylor Telecom's cooperative service area?
Yes
No
Unsure of location eligibility?
Check our
Service Coverage Map
to confirm that your organization lies within it.
Project Overview
Project Title
Project Description
Primary Community Need Addressed
Business & Economic Development
Education & Workforce Development
Health & Wellbeing
Public Safety & First Responders
Select all that apply
Project Impact and Outcomes
What is the goal or desired outcome of this project?
Who will benefit from this project?
How many people will be impacted?
Timeline and Budget
Estimated Project Stat Date
MM slash DD slash YYYY
Estimated Completion Date
MM slash DD slash YYYY
Total Project Cost
Amount requested from FRS (up to $5,000)
How much of the total cost is currently funded?
Is the project at least 75% funded?
Yes
No
NOTE: Project must be AT LEAST 75% funded to qualify for FRS grant consideration.
Please briefly describe other sources of funding for this project:
Broadband or Technology Use
Does this project involve broadband or technology-based solutions?
Yes
No
If yes, please explain how technology or broadband will be used:
Community Engagement
How does this project promote community involvement or sustainability?
Supporting documents
Please send us copies of the Project Budget Document, your 501(c)(3) IRS Determination Letter or Equivalent (if applicable), and any other supporting documents to
info@taylortel.org
Certification
By submitting this request, you acknowledge the following:
I certify that this project does not fall under any of the FRS ineligible funding categories listed in the grant guidelines.
I understand that this is a one-time grant and funds must be used as described in this application.
I acknowledge that the project must be at least 75% funded in order to qualify for FRS grant consideration.
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