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APPLICATION FORM - Stavros Niarchos Foundation

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return; js = d.createElement(s); js.id = id; js.src = "//web.archive.org/web/20171004214501/http://connect.facebook.net/en_US/all.js#xfbml=1"; fjs.parentNode.insertBefore(js, fjs); }(document, 'script', 'facebook-jssdk'));</script> <header> <a href="/web/20171004214501/http://www.snf.org/en/" class="top-logo" title="HOME">HOME</a><nav><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/about/">ABOUT</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/about/founder/">FOUNDER</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/about/history-mission/">HISTORY &amp; MISSION</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/about/annual-message-from-the-board-of-directors/">ANNUAL MESSAGE FROM THE BOARD OF DIRECTORS</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/about/board-of-directors/">BOARD OF DIRECTORS</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/about/executive-management/">EXECUTIVE MANAGEMENT</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/about/staff/">STAFF</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/about/advisors/">ADVISORS</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/about/snf-awards/">SNF AWARDS</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/about/faqs/">FAQs</a><ul></ul> </li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/">HIGHLIGHTS</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/stavros-niarchos-foundation-library-(snfl)-at-nypl/">Stavros Niarchos Foundation Library (SNFL) at NYPL</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/supporting-greeces-health-sector/">Supporting Greece's Health Sector</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/snf-wing-at-the-greek-national-gallery/">SNF Wing at the Greek National Gallery</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/snf-agora-institute-at-johns-hopkins-university/">SNF Agora Institute at Johns Hopkins University</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/educational-sports-programs-to-help-refugee-children/">Educational Sports Programs to Help Refugee Children</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/emergency-grant-for-the-refugee-crisis-in-greece/">Emergency Grant for the Refugee Crisis in Greece</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/summer-nostos-festival/">Summer Nostos Festival</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/snf-annual-international-conference/">SNF Annual International Conference</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/snf-rockefeller-grant-to-rockefeller-university/">SNF- Rockefeller grant to Rockefeller University</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/snf-aristarchus-chair-at-the-perimeter-institute/">SNF Aristarchus Chair at the Perimeter Institute</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/mass-media-scholarship-program-at-columbia-university/">Mass Media Scholarship Program at Columbia University</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/grant-to-the-national-center-for-emergency-care/">Grant to the National Center for Emergency Care</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/grants-against-the-greek-crisis/">Grants Against the Greek Crisis</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/recharging-the-youth/">Recharging the Youth</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/two-decades-of-global-impact/">Two Decades of Global Impact</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/awards/">Awards</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/the-spyros-louis-cup/">The Spyros Louis Cup</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/talking-to-the-press/">Talking to the Press</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/highlights/delivery-of-the-snfcc-to-the-greek-society/">Delivery of the SNFCC to the Greek Society</a><ul></ul> </li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/">GRANTS</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/arts-culture/">ARTS &amp; CULTURE</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/arts-culture/?l=greek">Greek Grants</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/arts-culture/?l=international">International Grants</a></li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/education/">EDUCATION</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/education/?l=greek">Greek Grants</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/education/?l=international">International Grants</a></li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/health-and-sports/">HEALTH &amp; SPORTS</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/health-and-sports/?l=greek">Greek Grants</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/health-and-sports/?l=international">International Grants</a></li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/social-welfare/">SOCIAL WELFARE</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/social-welfare/?l=greek">Greek Grants</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/social-welfare/?l=international">International Grants</a></li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/world-map-of-grants/">WORLD MAP OF GRANTS</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/grant-allocation/">GRANT ALLOCATION</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/grants/grantees/">LIST OF GRANTEES</a><ul></ul> </li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/">INITIATIVES</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/snfcc/">STAVROS NIARCHOS FOUNDATION CULTURAL CENTER</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/supporting-greeces-health-sector/">SUPPORTING GREECE'S HEALTH SECTOR</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/grants-against-the-greek-crisis/">GRANTS AGAINST THE GREEK CRISIS</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/grants-against-the-greek-crisis/food-aid-promotion-of-healthy-nutrition-program/">Food Aid &amp; Promotion of Healthy Nutrition Program</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/grants-against-the-greek-crisis/mobile-medical-units/">Mobile Medical Units</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/grants-against-the-greek-crisis/education-in-philanthropy/">Education in Philanthropy</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/grants-against-the-greek-crisis/visually-impaired-people-support/">Visually Impaired People Support</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/grants-against-the-greek-crisis/social-housing-homeless/">Social Housing &amp; Homeless</a></li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/recharging-the-youth/">RECHARGING THE YOUTH</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/recharging-the-youth/recharging-the-youth-conference/">Recharging the Youth Conference</a></li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/snf-annual-international-conference/">SNF ANNUAL INTERNATIONAL CONFERENCE</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/summer-nostos-festival/">SUMMER NOSTOS FESTIVAL</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/spyros-louis-cup/">SPYROS LOUIS CUP</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/">OTHER</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/the-stavros-niarchos-foundation-%E2%80%93-david-rockefeller-river-campus/">The Stavros Niarchos Foundation – David Rockefeller River Campus</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/mass-media-scholarship-program-at-columbia-university/">Mass Media Scholarship Program at Columbia University</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/refugee-crisis-in-greece/">Refugee Crisis in Greece</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/mental-health-for-children-adolescents-youth/">Mental Health for Children Adolescents &amp; Youth</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/school-support/">School Support</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/future-library/">Future Library</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/foster-care-institution/">Foster Care Institution</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/nautical-clubs-support/">Nautical Clubs' Support</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/refugee-immigrant-support/">Refugee &amp; Immigrant Support</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/pediatric-intensive-care-units/">Pediatric Intensive Care Units</a></li> <li><a href="/web/20171004214501/http://www.snf.org/en/initiatives/other/education-in-prison/">Education in Prison</a></li> </ul> </li> </ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/inquiries/" class="selected">INQUIRIES</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/inquiries/how-to-apply/">HOW TO APPLY</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/inquiries/application-form/" class="selected">APPLICATION FORM</a><ul></ul> </li> </ul> </li> <li class="full-only"><a href="/web/20171004214501/http://www.snf.org/en/newsroom/">NEWSROOM</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/newsroom/our-news/">OUR NEWS</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/newsroom/live-streaming/">LIVE STREAMING</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/newsroom/multimedia/">MULTIMEDIA</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/newsroom/talking-to-the-press/">TALKING TO THE PRESS</a><ul></ul> </li> <li><a href="/web/20171004214501/http://www.snf.org/en/newsroom/news-grants/">NEWS &amp; GRANTS</a><ul></ul> </li> </ul> </li> <li class="full-only"><a href="/web/20171004214501/http://www.snf.org/en/contact/">CONTACT</a><ul> <li><a href="/web/20171004214501/http://www.snf.org/en/contact/contact-us/">CONTACT US</a><ul></ul> </li> <li><a 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*<input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtZip" type="text" maxlength="20" id="txtZip" class="name-input" placeholder=""/> &nbsp; </div> <div class="field"> Country * <select name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$cmbCountry" id="cmbCountry" placeholder=""> <option selected="selected" value="-1">[Please select]</option> <option value="501">Afghanistan</option> <option value="595">Albania</option> <option value="584">Algeria</option> <option value="511">Angola</option> <option value="573">Argentina</option> <option value="585">Armenia</option> <option value="561">Australia</option> <option value="553">Austria</option> <option value="624">Bahamas</option> <option value="281">Bangladesh</option> <option value="614">Barbados</option> <option value="600">Belarus</option> <option value="583">Belgium</option> <option value="569">Benin</option> <option value="549">Bhutan</option> <option value="619">Bolivia</option> <option value="499">Bosnia-Herzegovina</option> <option value="512">Botswana</option> <option value="562">Brazil</option> <option value="277">Bulgaria</option> <option value="594">Burkina Faso</option> <option value="563">Burundi</option> <option value="578">Cambodia</option> <option value="526">Cameroon</option> <option value="565">Canada</option> <option value="610">Cape Verde</option> <option value="607">Central African Republic</option> <option value="497">Chad (Republic)</option> <option value="598">Chile</option> <option value="531">China</option> <option value="510">Colombia</option> <option value="548">Congo (Democratic Republic)</option> <option value="546">Costa Rica</option> <option value="605">Cote d&#39; Ivoire</option> <option value="536">Croatia</option> <option value="625">Cuba</option> <option value="572">Cyprus</option> <option value="537">Czech Republic</option> <option value="538">Denmark</option> <option value="622">Dominican Republic</option> <option value="567">Ecuador</option> <option value="527">Egypt</option> <option value="506">El Salvador</option> <option value="616">Estonia</option> <option value="575">Ethiopia</option> <option value="554">Finland</option> <option value="581">France</option> <option value="606">FYROM</option> <option value="279">Gambia</option> <option value="555">Georgia</option> <option value="579">Germany</option> <option value="574">Ghana</option> <option value="597">Greece</option> <option value="566">Greenland</option> <option value="626">Grenada</option> <option value="508">Guatemala</option> <option value="498">Guinea (Republic)</option> <option value="615">Guyana</option> <option value="515">Haiti</option> <option value="507">Honduras</option> <option value="539">Hungary</option> <option value="618">Iceland</option> <option value="588">India</option> <option value="289">Indonesia</option> <option value="517">Iran (Islamic Republic)</option> <option value="568">Ireland</option> <option value="550">Israel</option> <option value="582">Italy</option> <option value="603">Japan</option> <option value="532">Jordan</option> <option value="627">Kazakhstan</option> <option value="589">Kenya</option> <option value="533">Korea (Republic)</option> <option value="602">Kosovo</option> <option value="275">Kyrgyzstan</option> <option value="604">Laos</option> <option value="613">Latvia</option> <option value="519">Lebanon</option> <option value="609">Lesotho</option> <option value="285">Liberia</option> <option value="540">Liechtenstein</option> <option value="556">Lithuania</option> <option value="541">Luxembourg</option> <option value="513">Madagascar</option> <option value="284">Malawi</option> <option value="587">Mali</option> <option value="270">Mauritania</option> <option value="286">Mexico</option> <option value="599">Moldova (Democratic Republic)</option> <option value="586">Monaco</option> <option value="617">Mongolia</option> <option value="601">Montenegro</option> <option value="528">Morocco</option> <option value="516">Mozambique</option> <option value="520">Myanmar</option> <option value="290">Nepal</option> <option value="570">Netherlands</option> <option value="509">Nicaragua</option> <option value="523">Niger (Republic)</option> <option value="564">Nigeria</option> <option value="542">Northern Ireland</option> <option value="611">Norway</option> <option value="503">Pakistan</option> <option value="504">Palestinian Territory</option> <option value="524">Papua New Guinea</option> <option value="282">Paraguay</option> <option value="591">Peru</option> <option value="551">Philippines</option> <option value="283">Poland</option> <option value="557">Portugal</option> <option value="521">Romania</option> <option value="558">Russia Federation</option> <option value="291">Rwanda</option> <option value="522">Sao Tome and Principe (Democratic Republic)</option> <option value="543">Scotland</option> <option value="288">Senegal</option> <option value="593">Serbia</option> <option value="544">Serbia and MonteNegro</option> <option value="621">Sierra Leone</option> <option value="273">Singapore</option> <option value="571">Slovakia</option> <option value="559">Slovenia</option> <option value="274">Somalia</option> <option value="596">South Africa</option> <option value="608">South Georgia UK</option> <option value="496">South Sudan (Republic)</option> <option value="278">Spain</option> <option value="534">Sri Lanka</option> <option value="590">Sudan</option> <option value="525">Swaziland</option> <option value="560">Sweden</option> <option value="577">Switzerland</option> <option value="623">Syria</option> <option value="535">Tajikistan</option> <option value="529">Tanzania (United Republic)</option> <option value="552">Thailand</option> <option value="518">Tibet</option> <option value="502">Togo</option> <option value="292">Tunisia</option> <option value="612">Turkey</option> <option value="592">Uganda</option> <option value="505">Ukraine</option> <option value="545">United Kingdom</option> <option value="576">United States</option> <option value="547">Uruguay</option> <option value="500">Vanuatu (Republic)</option> <option value="620">Venezuela</option> <option value="514">Viet Nam</option> <option value="580">Wales</option> <option value="287">Zambia</option> <option value="530">Zimbabwe</option> </select> &nbsp; </div> <div class="field"> Telephone *<br/> <span class="note">(Please include country/area code)</span> <input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtTelephone1" type="text" maxlength="50" id="txtTelephone1" class="name-input" placeholder=""/> &nbsp; </div> <div class="field"> Telephone<br/> <span class="note">(Please include country/area code)</span> <input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtTelephone2" type="text" maxlength="50" id="txtTelephone2" class="name-input" placeholder=""/> </div> <div class="field"> E-mail *<input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtEmail" type="text" maxlength="100" id="ContentPlaceHolderDefault_cpMain_txtEmail" class="name-input" placeholder=""/> &nbsp; &nbsp; </div> <div class="field"> Website<input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtWebsite" type="text" maxlength="200" id="txtWebsite" class="name-input" placeholder=""/> </div> <div class="field"> Salutation * <select name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$cmbSalutation" id="cmbSalutation" placeholder="" style="width:150px;"> <option selected="selected" value="-1">[Please select]</option> <option value="Mr.">Mr.</option> <option value="Ms.">Ms.</option> </select> &nbsp; </div> <div class="field"> Contact Person Name *<input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtContactPersonName" type="text" maxlength="50" id="txtContactPersonName" class="name-input" placeholder=""/> &nbsp; </div> <div class="field"> Contact Person (Surname) *<input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtContactPersonSurname" type="text" maxlength="50" id="txtContactPersonSurname" class="name-input" placeholder=""/> &nbsp; </div> <div class="field"> Position *<input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtPosition" type="text" maxlength="100" id="txtPosition" class="name-input" placeholder=""/> &nbsp; </div> <div class="field"> Background Information of the Organization *<span class="note"> - (up to 3,000 characters)</span><br/> <span class="note">Please consider including the organization’s year of establishment, primary goals and activities, number of personnel and volunteers and the beneficiary groups.</span> <textarea name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtBackground" rows="2" cols="20" id="txtBackground" class="long-text"></textarea> </div> <div class="field"> Budget for Current Year and Most Recent Year’s Revenues and Expenses * <br/><span class="note">(Please complete both years with whole numbers only without using commas and semicolons)</span> <table> <thead> <tr> <th>Year</th> <th>Revenues</th> <th>Expenses</th> </tr> </thead> <tr> <td> <input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtYearCurrent" type="text" maxlength="4" id="txtYearCurrent" class="name-input" placeholder=""/> &nbsp; &nbsp; </td> <td> <input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtRevenuesCurrent" type="text" maxlength="10" id="txtRevenuesCurrent" class="name-input" placeholder=""/> &nbsp; &nbsp; </td> <td> <input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtExpensesCurrent" type="text" maxlength="10" id="txtExpensesCurrent" class="name-input" placeholder=""/> &nbsp; &nbsp; </td> </tr> <tr> <td> <input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtYearRecent" type="text" maxlength="4" id="txtYearRecent" class="name-input" placeholder=""/> &nbsp; &nbsp; </td> <td> <input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtRevenuesRecent" type="text" maxlength="10" id="txtRevenuesRecent" class="name-input" placeholder=""/> &nbsp; &nbsp; </td> <td> <input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtExpensesRecent" type="text" maxlength="10" id="txtExpensesRecent" class="name-input" placeholder=""/> &nbsp; &nbsp; </td> </tr> </table> </div> <div class="field"> Currency * <select name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$cmbCurrency1" id="cmbCurrency1" placeholder=""> <option selected="selected" value="-1">[Please select]</option> <option value="18">Australian Dollar</option> <option value="20">Canadian Dollar</option> <option value="17">Euro</option> <option value="22">Franc Suisse</option> <option value="21">Pound Sterling</option> <option value="19">Real</option> <option value="23">US Dollar</option> </select> &nbsp; </div> <div class="field"> Major Sources of Income<span class="note"> - (up to 500 characters)</span><br/> <span class="note">* Please indicate percentages of income derived from government, corporations, foundations and/or individuals.</span> <textarea name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtSourcesOfIncome" rows="2" cols="20" id="txtSourcesOfIncome" class="long-text" placeholder=""></textarea> </div> <div class="field"> Grant Request *<span class="note"> - (up to 3,000 characters)</span><br/> <span class="note">*Please consider including the purpose, beneficiaries, project location, and timetable.</span> <textarea name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtGrantRequest" rows="2" cols="20" id="txtGrantRequest" class="long-text" placeholder=""></textarea> </div> <div class="field"> Type of Support * <select name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$cmbSupportType" id="cmbSupportType" placeholder=""> <option selected="selected" value="-1">[Please select]</option> <option value="14">Conference</option> <option value="15">Construction</option> <option value="16">Emergency relief</option> <option value="17">Endowment</option> <option value="18">Equipment</option> <option value="19">Excavation</option> <option value="20">Exhibition</option> <option value="29">Festival</option> <option value="21">General operating support</option> <option value="22">Program support</option> <option value="23">Renovation</option> <option value="24">Restoration</option> <option value="25">Scholarship program</option> <option value="26">Vehicle</option> </select> &nbsp; </div> <div class="field"> Requested Amount *<input name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$txtRequestedAmount" type="text" maxlength="10" id="txtRequestedAmount" class="name-input" placeholder=""/> &nbsp; &nbsp; </div> <div class="field"> Currency * <select name="ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$cmbCurrency2" id="cmbCurrency2" placeholder=""> <option selected="selected" value="-1">[Please select]</option> <option value="18">Australian Dollar</option> <option value="20">Canadian Dollar</option> <option value="17">Euro</option> <option value="22">Franc Suisse</option> <option value="21">Pound Sterling</option> <option value="19">Real</option> <option value="23">US Dollar</option> </select> &nbsp; </div> <div class="field last"> <a id="btnSubmit" class="comment-submit" href="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;ctl00$ctl00$ctl00$ContentPlaceHolderDefault$cpMain$btnSubmit&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, true))">POST</a> <span id="formposting" style="display: none!important;" class="comment-submit">Posting...</span> </div> <div class="aspNetHidden"> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CA0B0334"/> </div></form> <p>After you have successfully submitted this form, you will receive a copy of the completed form to the e-mail address provided.</p> <p>In case there is further interest in your 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