Proposal Cover Page Preproposal #:
Hudson River Foundation
2021 Call for Proposals
Title of Proposal:
Purpose/Objectives:
Amount of Support Requested: Period for which support is requested:
From _____________________ through ____________________.(MM/DD/YYYY) (MM/DD/YYYY)
Principal Investigator(s): (Name, Title, Address, Phone, e-mail)
Grant Administrator: Payments to be sent to: Applicant's Tax Status(Name, Title, Address, Phone, e-mail) (Name, Title, Address, Phone, e-mail)
Tax Exempt under 501(c)3
Not a Private Foundation
under Sec. 509(a)
Private FoundationNot Tax-ExemptGovernment
Proposal Approval:
__________ _________________________ __________Institutional Representative Signature Date Principal Investigator Signature Date
12-Month Total $
For HRF Use
Voluntary Diversity Questionnaire
Name:
Alaska Native Native AmericanAsian Native HawaiianBlack or African American Other Pacific IslanderHispanic/Latino WhiteMiddle Eastern/North African Prefer not to answer
Name:
Alaska Native Native AmericanAsian Native Hawaiian
Black or African American Other Pacific IslanderHispanic/Latino WhiteMiddle Eastern/North African Prefer not to answer
Name:
Alaska Native Native AmericanAsian Native HawaiianBlack or African American Other Pacific IslanderHispanic/Latino WhiteMiddle Eastern/North African Prefer not to answer
Name:
Alaska Native Native AmericanAsian Native HawaiianBlack or African American Other Pacific IslanderHispanic/Latino White
Middle Eastern/North African Prefer not to answer
Name:
Alaska Native Native AmericanAsian Native HawaiianBlack or African American Other Pacific Islander
Hispanic/Latino WhiteMiddle Eastern/North African Prefer not to answer
Principal Investigator 5
Which of the following do you identify as? Please check all that apply.
Principal Investigator 3
Which of the following do you identify as? Please check all that apply.
Principal Investigator 4
Which of the following do you identify as? Please check all that apply.
Principal Investigator 1
Principal Investigator 2
Which of the following do you identify as? Please check all that apply.
Which of the following do you identify as? Please check all that apply.
The Foundation seeks in the Hudson River Research Grant program, as in all of its activities, to enhance its
work by supporting participants with the unique and varied backgrounds, circumstances, needs, and
perspectives that reflect the diversity of our community. Our ability to assess our success in achieving this goal
and to adopt measures toward that success will be helped by your voluntarily answering the questions below.
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