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Crime Prevention Grant Prequalification
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Additional information is available at the Crime Prevention Fund web page.

Please complete this form if you already have a project in mind to apply for a crime prevention grant. If you have any questions, call Orange County Neighborhood Services at (407) 836-5606.

1) Contact Information
Neighborhood or Organization's Name
Mailing Address
City
State Zip Code
Contact Name
Contact Phone Number
Email Address
2) Has your neighborhood/organization ever applied for a grant from Neighborhood Services before?

Yes No

3) What are your neighborhood's specific crimes or safety related issues?
4) Briefly explain the project you have in mind to address these specific neighborhood crimes or safety related issues?
5) Do you have a group of volunteers that are willing to help implement this project?

Yes No




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