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The form captures applicant and organization addresses, phone and fax numbers, email, legal name, county, nearest Dollar General store distance, and relevant IRS 501(c)3 documentation. 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It is recommended that you compose the answers to the paragraph questions in a word processing program and then cut and paste that text into the online application . |  |\n| Contact Information |  |\n| Please check the appropriate contact match box(es) for this grant application. All correspondence related to this application will be sent to the attention of the selected recipient(s). If the contact person changes after your application is submitted, please call DGLF staff at 615-855-5201 . |  |\n| *First Name\u003Cbr>(Text)(40 character maximum) | Instructions: Holly |\n| *Last Name\u003Cbr>(Text)(40 character maximum) | Instructions: Jones |\n| *Title\u003Cbr>(Text)(500 character maximum) | Instructions:\u003Cbr>Library Branch Manager |\n| *Address\u003Cbr>(Text)(100 character maximum) | Instructions:\u003Cbr>246 Tyro School Road |\n| *City\u003Cbr>(Text)(50 character maximum) | Instructions: Lexington |\n| *State | North Carolina |\n| *Zip\u003Cbr>(Text)(20 character maximum) | 27295 |\n| *Telephone\u003Cbr>(Text)(30 character maximum) | 336-853-4800 |\n| Fax\u003Cbr>(Text)(30 character maximum) | 336-853-4803 |\n\n\n| *E-mail Address\u003Cbr>(Text)(100 character maximum) | [holly.jones@davidsoncountync.gov](holly.jones@davidsoncountync.gov) |\n| --- | --- |\n| Organization Information |  |\n| Please provide accurate contact information for your organization. All correspondence from the Foundation will be sent via USPS regular mail and the check, if selected for funding, will be made out to the organization listed below. If your organization is selected for funding, please note that grants are non-transferable and awarded to the organization, not the person submitting on the organization's behalf. |  |\n| *Legal Name\u003Cbr>(Text)(100 character maximum) | Davidson County Public Library System West Davidson Library Branch |\n| *Mailing Address\u003Cbr>(Text)(100 character maximum) | 246 Tyro School Road |\n| *City\u003Cbr>(Text)(50 character maximum) | Lexington |\n| *State | North Carolina |\n| *Zip\u003Cbr>(Text)(20 character maximum) | 27295 |\n| County\u003Cbr>(Text)(25 character maximum) | Davidson County |\n| *Telephone\u003Cbr>(Text)(30 character maximum) | 336-853-4800 |\n| Fax\u003Cbr>(Text)(30 character maximum) | 336-853-4803 |\n| *Nearest Dollar General Store (Number)(15 character maximum) | 2.1 miles |\n| IRS 501(c)3 Determination Letter (File Upload)File Upload; 5242880 byte limit | N/ A |\n\n\n| *How long has your organization been in existence?\u003Cbr>(Single-Select List)\u003Cbr>• 0-5 years\u003Cbr>• 6-15 years\u003Cbr>• 16-25 years\u003Cbr>• 26-50 years\u003Cbr>• 51+ years | 51+ years |\n| --- | --- |\n| Overview |  |\n| Please complete the overview section below with information relating directly to the program you are applying for. Do not include information or data for other programs your organization may offer. |  |\n| *Mission Statement (Paragraph)(500 character maximum) | The Library’s mission is to provide resources and services for reading, thinking, learning, and living. |\n| *Project Title\u003Cbr>(Text)(255 character maximum) | Parent Involvement Literacy Program during the Summer Reading Program-Oceans of Possibilities |\n\n\n|  |  |\n| --- | --- |\n| *Requested Cash amount | $3,000 |\n| *Number of individuals to be served by funding from this Summer Reading application | 100 |\n| *Projected Ethnicity Served |  |\n| • African American 30.5 | African American 30 |\n| • Asian/Pacific Islander 3.8 | Asian/Pacific Islander 4 |\n| • Caucasian 45.6 | Caucasian 46 |\n| • Hispanic 15.1 | Hispanic 16 |\n| • Native American | Native American 0 |\n| • Multi-Racial 4.6 | Multi-Racial 4 |\n| • Other |  |\n\n\n| *Program Target Audience (Multi-Select List)\u003Cbr>• Below Grade Level Readers\u003Cbr>• English Language Learners\u003Cbr>• New Readers\u003Cbr>• Readers with Learning Disabilities | Below Grade Level Readers English Language Learners New Readers\u003Cbr>Readers with Learning Disabilities |\n| --- | --- |\n| *Grade Levels Served (Multi-Select List)","cbCaiq7yGwgvugqC","https://ap.wps.com/l/cbCaiq7yGwgvugqC","pdf",188430,"English","# Contact Information\n# Organization Information\n# Overview\n# Program Target Audience and Grade Levels Served\n# Prior Funding History\n# Community Summary\n# Geographic Classification\n# Project Design and Evaluation","[{\"question\":\"What contact information does the form request for this grant application?\",\"answer\":\"It requests first and last name, title, address, city, state, zip, telephone, fax, and email address. 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