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2. 
4. Name of Organization Requesting Funding
6. Amount Requested:
8. Amount Received in 2023
10. 2023 Operating Budget
12. Proposed 2024 Operating Budget
14. How Will Your Entity Use These Funds? Be Specific
16. List Desired Outcomes for Requested Funds. What Metrics Will You Use to Measure Success? Be Specific.
18. Has your organization received funding from the City of Russell before?

    1. Yes

    1. No
20. How was previous funding used?
22. Will this funding request assist in offsetting municipal services? If so, how?
24. What is the number of Russell Citizens directly and indirectly affected with requested City funds?
26. How will Russell Citizens Be Impacted?
28. What actions will be taken if your funding request is denied or reduced this year and next?
32. Contact Information:
34. Name
35. Email Address
37. Address
39. City
40. State
41. Zip Code
43. Phone Number
44. Fax Number
46. Who will be presenting your request at the City Council Meeting?
48. Attachments:
50. Attachments:
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit Submit and Print

* indicates a required field