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Please send your completed application form to the LIN Center for Community Development, by email (preferred) to: Donor@LINvn.org, or by mail to: 71-73-75 Hai Ba Trung St., 6th Floor, District 1, HCMC.

Please submit your application by October 15th. To confirm receipt, feel free to call Ms. Cam Tu at: 84-8-3824-6091.

PARTICIPANT NAME:	Title:
FOUNDATION/ORGANIZATION NAME:
MAILING ADDRESS:
PHONE:
FAX:
EMAIL:
WEBSITE:
YEAR GRANTMAKING BEGAN:
TOTAL NUMBER OF 2009 GRANTS:
NO. STAFF DEDICATED TO GRANTMAKING
FULL-TIME
PART-TIME
HOW DID YOU HEAR ABOUT THE FORUM

Type of Grantmaker:
LOCAL CHARITY FUND (Makes grants to other organizations but does not implement its own programs)	VN GOVERNMENT FUND (Funds from Government and/or citizens support the broad needs of a group or geographic area)
LOCAL OPERATING FOUNDATION (Makes grants to other organizzations and conducts its own programs)	FOREIGN FUND (Including international foundations, multilateral and bilateral donor agencies)
CORPORATE FUND (Private foundation or giving program organized and operated by a for-profit business)	INTERNATIONAL NGO (Makes grants to local organizations and implements its own programs)
OTHER

Geographical Focus: Check one
HCMC	VIETNAM
SOUTHERN VIETNAM	OTHER:

Sector Focus, for Funding: Check most meaningful
AGRICULTURE/FOOD	EDUCATION	RECREATION
ART/CULTURE	ENVIRONMENT/NATURE	REPRODUCTIVE HEALTH
CHILDREN	INFRASTRUCTURE DEV	RESEARCH
DRUG ABUSE	INSTITUTION STRENGTHENING	RURAL DEVELOPMENT
DISABILITY	MICRO-CREDIT	WOMEN AND GIRLS
DISASTER RELIEF	POVERTY ALLEVIATION	OTHER:
Why do you want to attend this forum? (What are your expectations?):