Please complete this Proposal Fact Sheet and 

send as the cover sheet with each proposal.



The Fact Sheet can be downloaded into your 

computer and space expanded where needed.



PROPOSAL FACT SHEET



E. Gail Purvis, Director

THE TRULL FOUNDATION

404 Fourth Street

Palacios, Texas  77465

361- 972-5241    Fax: 361-972-1109





Date:                



1.  Name of Agency



    Address



    Mailing address (if different)



    Program address (if different)



    Phone Number                       FAX Number



    E-mail address



    Contact Person



2.  Name of Project



3.  Amount being requested



4.  Brief History and Mission of the Agency









5.  Description of the Project for which funding is requested.



6.  List Project staff by positions and salaries, indicating     those involved in this project.



7.  Total Agency Budget for a year $                     



8.  Total Project Budget $                                



9.  Explain how this Project will be evaluated.



           ****************************PLEASE DO NOT WRITE BELOW THIS SPACE **********************************



Grants of past three years:



                  Year         Amount        Project



Prior year:                                                       

One year prior:                                                   

Two years prior:                                                 



IRS INFO  satisfactory             

IRS INFO  being checked           

Evaluation Report





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Last Updated October 28, 2003 by Tisa A. Burrell