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January 22, 2018


Organization/Tribe Name
Mailing Address:
Contact Name:
Contact Phone:
Contact Email:
Amount Requested:
Please describe your project or how the grant will be used: (250 words or less)
Prior Application Dates:
Were you awarded a grant? Yes   No   

Please forward this application along with your project budget and any flyers, brochures, newsletters or other documents you think may support your request.
Mail To: Interchurch Ministries of Nebraska
GAIN Committee
2012 South 13th Street
Lincoln, NE 68502
Or Email: jerry@imneb.org