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<br />2003-04 CALIFORNIA AMERICORPS APPLICATION <br />APPLICATION CHECKLIST Y ~ <br /> <br />ø ~ ~/ ~. <br /> <br />A complete 2003-04 AmeriCorps application package consists of the following <br />components IN THE FOLLOWING ORDER <br /> <br />1. mtate Title Page <br />2. i3j'able of Contents with page numbers <br />3. [3'Executive Summary - not to exceed one-page, single-spaced <br />4. 0 AmeriCorps Program Impact Summary (if applicable) - not to exceed one-page, <br />- ~gle-spaced <br />5. L;r"þeriCorps Program Narrative - not to exceed 20 pages, double-spaced <br />6. cr Objective Summary Form <br />7. B"'Objectives Worksheets <br />8. [YEvaluation Plan Forms <br />9. GCLASP Partners Forms <br />10. [;}Service Codes Form <br />11. IT Budget Form <br />12. g-Budget Narrative <br />13. G}-Budget Analysis Checklist - l c...o to '1 Ch".eu¡ <br />14. ~surances and Certifications Form <br />15.0 Program Evaluation (if applicable) <br />16. [l}-Financial Audit/Information - l ~~ ð v~ - <br /> <br />Please include 1 original and 7 copies ofthe application package, except for items 13, 15 <br />and 16 (please include only one copy ofthese items attached to the original). <br /> <br />Do not include this checklist with your application. <br /> <br />All applications must be received bv 5:00 D.ID. on Wednesday, December 18,2002 at the <br />following address: <br /> <br />Governor's Office on Service and Volunteerism (GO SERV) <br />ATTN: AmeriCorps 2003 <br />1110 K Street, Suite 210 <br />Sacramento, CA 95814 <br />(916)323-7646 phone <br />