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APPLICATION FORM - Stavros Niarchos Foundation

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MISSION</a><ul></ul> </li> <li><a href="/web/20170722224106/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/20170722224106/http://www.snf.org/en/about/board-of-directors/">BOARD OF DIRECTORS</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/about/executive-management/">EXECUTIVE MANAGEMENT</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/about/staff/">STAFF</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/about/advisors/">ADVISORS</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/about/snf-awards/">SNF AWARDS</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/about/faqs/">FAQs</a><ul></ul> </li> </ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/highlights/">HIGHLIGHTS</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/highlights/stavros-niarchos-foundation-20-years-of-grantmaking-activity/">Stavros Niarchos Foundation: 20 years of grantmaking activity</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/highlights/6th-snf-annual-international-conference/">6th SNF Annual International Conference</a><ul></ul> </li> <li><a href="/web/20170722224106/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/20170722224106/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/20170722224106/http://www.snf.org/en/highlights/grants-against-the-greek-crisis/">Grants Against the Greek Crisis</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/highlights/recharging-the-youth/">Recharging the Youth</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/highlights/two-decades-of-global-impact/">Two Decades of Global Impact</a><ul></ul> </li> <li><a href="/web/20170722224106/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/20170722224106/http://www.snf.org/en/highlights/the-spyros-louis-cup/">The Spyros Louis Cup</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/highlights/talking-to-the-press/">Talking to the Press</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/highlights/awards/">Awards</a><ul></ul> </li> </ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/">GRANTS</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/arts-culture/">ARTS &amp; CULTURE</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/arts-culture/?l=greek">Greek Grants</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/arts-culture/?l=international">International Grants</a></li> </ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/education/">EDUCATION</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/education/?l=greek">Greek Grants</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/education/?l=international">International Grants</a></li> </ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/health-and-sports/">HEALTH &amp; SPORTS</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/health-and-sports/?l=greek">Greek Grants</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/health-and-sports/?l=international">International Grants</a></li> </ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/social-welfare/">SOCIAL WELFARE</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/social-welfare/?l=greek">Greek Grants</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/social-welfare/?l=international">International Grants</a></li> </ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/world-map-of-grants/">WORLD MAP OF GRANTS</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/grant-allocation/">GRANT ALLOCATION</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/grants/grantees/">LIST OF GRANTEES</a><ul></ul> </li> </ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/">INITIATIVES</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/snfcc/">STAVROS NIARCHOS FOUNDATION CULTURAL CENTER</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/grants-against-the-greek-crisis/">GRANTS AGAINST THE GREEK CRISIS</a><ul> <li><a href="/web/20170722224106/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/20170722224106/http://www.snf.org/en/initiatives/grants-against-the-greek-crisis/mobile-medical-units/">Mobile Medical Units</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/grants-against-the-greek-crisis/education-in-philanthropy/">Education in Philanthropy</a></li> <li><a href="/web/20170722224106/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/20170722224106/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/20170722224106/http://www.snf.org/en/initiatives/recharging-the-youth/">RECHARGING THE YOUTH</a><ul> <li><a href="/web/20170722224106/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/20170722224106/http://www.snf.org/en/initiatives/spyros-louis-cup/">SPYROS LOUIS CUP</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/snf-annual-international-conference/">SNF ANNUAL INTERNATIONAL CONFERENCE</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/summer-nostos-festival/">SUMMER NOSTOS FESTIVAL</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/other/">OTHER</a><ul> <li><a href="/web/20170722224106/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/20170722224106/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/20170722224106/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/20170722224106/http://www.snf.org/en/initiatives/other/school-support/">School Support</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/other/future-library/">Future Library</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/other/foster-care-institution/">Foster Care Institution</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/other/nautical-clubs-support/">Nautical Clubs' Support</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/other/refugee-immigrant-support/">Refugee &amp; Immigrant Support</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/other/pediatric-intensive-care-units/">Pediatric Intensive Care Units</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/initiatives/other/education-in-prison/">Education in Prison</a></li> </ul> </li> </ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/inquiries/" class="selected">INQUIRIES</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/inquiries/how-to-apply/">HOW TO APPLY</a><ul></ul> </li> <li><a href="/web/20170722224106/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/20170722224106/http://www.snf.org/en/newsroom/">NEWSROOM</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/newsroom/our-news/">OUR NEWS</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/newsroom/live-streaming/">LIVE STREAMING</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/newsroom/multimedia/">MULTIMEDIA</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/newsroom/talking-to-the-press/">TALKING TO THE PRESS</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/newsroom/news-grants/">NEWS &amp; GRANTS</a><ul></ul> </li> </ul> </li> <li class="full-only"><a href="/web/20170722224106/http://www.snf.org/en/contact/">CONTACT</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/contact/contact-us/">CONTACT US</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/contact/you-the-snf/">YOU &amp; THE SNF</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/contact/appreciation-letters/">APPRECIATION LETTERS</a><ul></ul> </li> <li><a href="/web/20170722224106/http://www.snf.org/en/contact/internships/">INTERNSHIPS</a><ul> <li><a href="/web/20170722224106/http://www.snf.org/en/contact/internships/snf-internship-info/">SNF Internship Info</a></li> <li><a href="/web/20170722224106/http://www.snf.org/en/contact/internships/snfcc-internship-info/">SNFCC Internship Info</a></li> </ul> </li> </ul> </li> </ul></nav><ul class="additional-menu"> <li class="small-only"><a href="/web/20170722224106/http://www.snf.org/en/newsroom/">NEWSROOM</a></li> <li class="small-only"><a href="/web/20170722224106/http://www.snf.org/en/contact/">CONTACT</a></li> <li class="searchform"> <form method="get" action="/web/20170722224106/http://www.snf.org/en/search/"><input name="q" type="search"><button>search</button></form> </li> <li class="home-button"><a href="/web/20170722224106/http://www.snf.org/en/"><img src="/web/20170722224106im_/http://www.snf.org/images/home-icon.png" alt="home button"></a></li> <li><a href="/web/20170722224106/http://www.snf.org/el/plirofories/aitisi/" class="language greek">GR</a></li> </ul> </header> <main> <aside class="submenu"> <a class="menu-toggle"></a><nav><a href="/web/20170722224106/http://www.snf.org/en/inquiries/how-to-apply/">HOW TO APPLY</a><a href="/web/20170722224106/http://www.snf.org/en/inquiries/application-form/" class="selected">APPLICATION FORM</a></nav> </aside> <div class="content"> <header> <h1>APPLICATION FORM</h1> </header> <link rel="stylesheet" type="text/css" href="/web/20170722224106cs_/http://www.snf.org/scripts/jquery.maxlength.css"> <script type="text/javascript" src="/web/20170722224106js_/http://www.snf.org/scripts/jquery.plugin.min.js"></script> <script type="text/javascript" src="/web/20170722224106js_/http://www.snf.org/scripts/jquery.maxlength.min.js"></script> <script type="text/javascript"> $(document).ready(function () { $("#btnSubmit").click(function () { if (Page_ClientValidate()) { $(this).hide(); $('#formposting').show(); } }); //keith-wood.name/maxlengthRef.html $('#txtGrantRequest').maxlength({ max: 3000, feedbackText: '{r}/{m}' }); $('#txtBackground').maxlength({ max: 3000, feedbackText: '{r}/{m}' }); $('#txtSourcesOfIncome').maxlength({ max: 500, feedbackText: '{r}/{m}' }); }); </script> <p>Please read the guidelines in the <a href="/web/20170722224106/http://www.snf.org/en/inquiries/how-to-apply/" title="HOW TO APPLY">How to Apply</a> section carefully prior to completing the form.</p> <p>The * denotes a mandatory field.</p> <p>Please note that this year’s School Support Program in Greece has been completed. Consequently, at this stage, the SNF is not considering any requests from schools, concerning the provision of technological and electronic equipment.</p> <p> </p> <form method="post" action="/web/20170722224106/http://www.snf.org/en/inquiries/application-form/" id="frmComment" class="application"> <div class="aspNetHidden"> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" 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*<input name="ctl00$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="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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