SMYTH COUNTY COMMUNITY
FOUNDATION
EXECUTIVE SUMMARY
Organization:
Project
Manager: Title:
Address:
Phone/Fax:
Amount
of Request: Percent of Total
Project Cost:
Funds
to be Used For (include targeted population):
Brief
Description of the Project:
Specific
Health Indicators to be Improved:
Specific
Objectives of Project and Time Frames:
Evidence
of Community Collaboration/Partners in the Operation of the Project:
Intended
Outcomes and Evaluation Process: