45661501_283856172461410_292880822428919
CCBNA Grant Application
Please Fill Out: *Members Only*
I CERTIFY, TO THE BEST OF MY KNOWLEDGE, THAT:
  1. The tax-exempt status of this organization is still in effect,
  2. This organization does not support or engage in any terrorist activity, and
  3. If a grant is awarded to this organization, the proceeds of that grant will not be distributed to or used to benefit any organization or individual supporting or engaged in terrorism, or used for any other unlawful purpose.
  4. Agree to the collection of pre and post-survey data as required
Signatures:

Thank you for submitting!