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Bloomington CiviForm
Note: Fields marked with a * are required.
Project Name *
Name Project/Grant Lead *
Phone of Project/Grant Lead *
Email of Project/Grant Lead *
Is your organization a 501(c)(3)? *
Yes
No
Organization mission statement/description *
Describe your organization's experience in delivering digital equity programs. *
Grant Use *
The grant funding will be used for Bloomington Digital Opportunity initiatives