Name of department or organization requesting funding:

Contact person:

Address:

Daytime phone:	Evening phone:
E-mail:	Fax:

Event:

Proposed date, time and location:

Amount requested:

Describe the proposed event and how it relates to the commemoration theme, “Experiencing Democracy: Inquire, Learn, Reflect.”



Describe the intended audience(s) and projected audience size for the proposed event.



Specify funding request as completely as possible.

Applications will be considered on a rolling basis, beginning November 19, 1999. Preference will be given to events with other sources of funding and which have the potential for a wide audience. All funded events must advance the commemoration theme. Typical grants will be between $100 and $500.