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,{ _ . <br />r; ~ B1ueGross B1ueShield (Foundat;ion <br />` of North Carolina <br />Emergency Preparedness Grant Program Request for Funding Application <br />A. Organization Profile <br />B. Financial Profile <br />C. Additional Background Information <br />D. Project Overview <br />E. Proposal Narrative (maximum 4 pages) <br />- Project Summary <br />- Project Description <br />- Implementation and Coordination <br />- Sustainability <br />F. Project Plan and Evaluation <br />G, Project Budget <br />H. Attachments <br />I. Certification <br />- The proposal narrative (see section E) should be typed in Arial, 12-point font with one-inch <br />margins at the top, bottom and sides of the page and page numbers in the footer, <br />- The proposal nan-ative should be no more than four single-spaced pages. <br />K <br />Submit ten copies of the completed application for funding. Applications will not be considered <br />complete without the supporting documents as outlined in the attachments section. <br />Applications and supporting documents must be received by 5gm on Fr~iday, March 3, 2006. <br />Please mail to: <br />BCBSNC Foundation <br />Grant Review -Danielle Breslin <br />5901 Chapel HiU Road <br />Durham, NC 27707-0718 <br />Phone: 919-765-4114 <br />All proposals must be sent using a method that allows for tracking (e.g.., return receipt, FedEx) in <br />order for the applicant to independently track the receipt status.. <br />