Texas Open Source Foundation Funding Request form

Date submitted:

1. Name of proposed project:
   (Ex: beneficiary/reason: El Paso Boys' Club Technology Expansion)

Date project will begin:

Expected date of conclusion:

2. Primary project contact's Full Name:

Title:

Organization:

Address:

City, State, Zip:

Telephone: 

Fax:

E-mail:

3. Description of the project/needs it will address (must not exceed 250 words):








4. Describe the specific impact the project is expected to have (must not exceed 250 words):







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TOSS Foundation - Funding Request Form

5. List the specific software or hardware requested/needed:





6. List training/installation needs:





7. List the specific groups of individuals who will directly benefit from this project:





8. What TOSS Foundation/organizational objectives are met by this project?  




9. This completed form must be accompanied by:

a) A project budget of all sources of support (financial and in-kind) and all projected expenditures.

b) An implementation plan for deployment of the resources granted, as well as drafts of media-information plans covering the event.

Funding requests that exceed four pages will be rejected without review.
October06