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Application Narrative (not to exceed ten (10) pages) Click Here to Upload

Evidence Based Intervention Citation (optional) Click Here to Upload

Certifications and Assurances Click Here to Upload

Proposed Program Schedule (optional) Click Here to Upload

Program Budget Click Here to Upload

Board approved Organization Annual Budget Click Here to Upload

IRS Determination Letter of 501(c)(3) non-profit organization dated August 29, 2020 or earlier Click Here to Upload

Clean Hands Certificate with the DC Office of Tax and Revenue dated within the past year (August 29, 2021 or later) Click Here to Upload

DCRA Certificate of Good Standing dated within the past year (August 29, 2021, or later) Click Here to Upload

DCRA Basic Business License, currently valid or valid through, August 29, 2022 or later Click Here to Upload

Two (2) years of the most recent Income Statement and Balance Sheet Click Here to Upload

One year of most recent audit, completed within the last 12 months Click Here to Upload

Two (2) years of the most recently completed Form 990, 990EZ, or 990N and any schedules filed Click Here to Upload

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