Lesson 4: Youth Advisory Committee in Action
Handout 3

Proposal Form

Name of Project:_______________________ Focus Area: _________________
Organization Name: ________________________________________________
Organization Address: ______________________________________________
Contact Person: Phone: ____________________________________________
Program Description:
Describe the purpose of the project, the way in which it will be carried out, how often its services will be provided, how many people will be served, and the location where the program is to be carried out.

Applicant Organization:
Describe the history of the organization proposed to receive funding. When was it founded, who does it serve and what is its history handling this type of community service?


Evaluation:
How will we determine whether the funding accomplished its purpose?


Project Budget:
Indicate how much money is being requested and a detailed estimate of project costs. Are requested funds sufficient to carry out the project?

Youth Advisory Committee Members Making This Recommendation: