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<br />TAB 1 <br /> <br />YOUTH SPORTS APPLICATION FACT SHEET <br /> <br />HOUSING AUTHORITY: <br />STATE: <br /> <br />PHNIHA #: <br /> <br />IRS EMPLOYER IDENTIFICATION NUMBER: <br /> <br />REGION: <br /> <br />FIELD OFFICE: <br /> <br />CONTACT PERSON: <br /> <br />CONTACT PERSON PHONE #: <br /> <br />CHECK ONE: PHA <br /> <br />iliA <br /> <br />DURATION OF PROGRAM: _MONTIIS <br /> <br />AMOUNT REOUESTED. BY PROGRAM AREA. UNDER THIS APPLICATION: <br /> <br />The catagorical infonnation should only reflect the dollars that will be provided by the actual <br />grant funding. This does not include the matching funds. Matching will be shown under <br />''Non-Federal Matching Funds" reflecting the total amount of matching funds for this <br />application. <br /> <br />YOUTH SPORTS EFFORTS: <br /> <br />RECREATIONAL FACILITIES: <br />YOUTH DRUG EDUCATION FACILITIES: <br /> <br />YOUTH EDUCATIONAIlVOCATIONAL ACTIVITIES: <br /> <br />GRANT AMOUNT REQUESTED: <br /> <br />NON-FEDERAL MATCHING FUNDS: <br /> <br />SUMMARY OF PROGRAM: <br /> <br />A brief summary of the program proposed in this application (100 words or less). This <br />narrative will be used for Congressional Notification. <br />