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4 <br />ame BlueCross BlueShield I It'oundation <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 Evaluaticn <br />G. Projecf Budget <br />H. Attachments <br />I. Certification <br />vr=iv.-_c-v... vc~ _~ -v .~: ~~..~.__..-J i!vv CU_---irt3~"]~~ r: .:i'v -. c.a-i-__ :~_ _ -~:4i'-]a_:4"i?,:_ii"ii?3~5n.v_.~~i~_x_iia-:n=i."21 <br />. '-G~f,~c_ ~ ~.~ ~{~ I i~iFs IN lr~~Ps ,-~- vs~ -+ dx+~~ h;f .L ~c W-e i, it v <br />p~~~-v_~.,-- r~~ ~ i 3{vim, ~'~1 ~v=- ~',,.~.:+.,~ 't ~u. k'~-", ~ f~•~Y ~~ a. P~Yi{..1. Y1lit G.k~ ~~';- <br />EllYlf'GS y~ <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 narrative should be no more than four single-spaced pages,. <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 5pm on Friday, March 3.2006. <br />Please mail to: <br />BCBSNC Foundation <br />Grant Review -Danielle Breslin <br />5901 Chapel Hill Road <br />Durham, NC 2 7707-07 1 8 <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 />