<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Err.Clear strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("multiTable_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "CommonApplication", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(21) Dim arFormDBFields0(21) Dim arFormValues0(21) arFormFields0(0) = "OrgPurpose" arFormDBFields0(0) = "OrgPurpose" arFormValues0(0) = Request("OrgPurpose") arFormFields0(1) = "EthnicStaff" arFormDBFields0(1) = "EthnicStaff" arFormValues0(1) = Request("EthnicStaff") arFormFields0(2) = "OrgBudget" arFormDBFields0(2) = "OrgBudget" arFormValues0(2) = Request("OrgBudget") arFormFields0(3) = "AmountGranted" arFormDBFields0(3) = "AmountGranted" arFormValues0(3) = Request("AmountGranted") arFormFields0(4) = "OrgName" arFormDBFields0(4) = "OrgName" arFormValues0(4) = Request("OrgName") arFormFields0(5) = "Geographic" arFormDBFields0(5) = "Geographic" arFormValues0(5) = Request("Geographic") arFormFields0(6) = "Employees" arFormDBFields0(6) = "Employees" arFormValues0(6) = Request("Employees") arFormFields0(7) = "ProgramNew" arFormDBFields0(7) = "ProgramNew" arFormValues0(7) = Request("ProgramNew") arFormFields0(8) = "EthnicBoard" arFormDBFields0(8) = "EthnicBoard" arFormValues0(8) = Request("EthnicBoard") arFormFields0(9) = "CEO" arFormDBFields0(9) = "CEO" arFormValues0(9) = Request("CEO") arFormFields0(10) = "ContactName" arFormDBFields0(10) = "ContactName" arFormValues0(10) = Request("ContactName") arFormFields0(11) = "AmountRequested" arFormDBFields0(11) = "AmountRequested" arFormValues0(11) = Request("AmountRequested") arFormFields0(12) = "WhereProcess" arFormDBFields0(12) = "WhereProcess" arFormValues0(12) = Request("WhereProcess") arFormFields0(13) = "PeopleServed" arFormDBFields0(13) = "PeopleServed" arFormValues0(13) = Request("PeopleServed") arFormFields0(14) = "OrgAddress" arFormDBFields0(14) = "OrgAddress" arFormValues0(14) = Request("OrgAddress") arFormFields0(15) = "ProjectBudget" arFormDBFields0(15) = "ProjectBudget" arFormValues0(15) = Request("ProjectBudget") arFormFields0(16) = "Updated" arFormDBFields0(16) = "Updated" arFormValues0(16) = Request("Updated") arFormFields0(17) = "EthnicServed" arFormDBFields0(17) = "EthnicServed" arFormValues0(17) = Request("EthnicServed") arFormFields0(18) = "GrantPurpose" arFormDBFields0(18) = "GrantPurpose" arFormValues0(18) = Request("GrantPurpose") arFormFields0(19) = "ReceiveFunds" arFormDBFields0(19) = "ReceiveFunds" arFormValues0(19) = Request("ReceiveFunds") arFormFields0(20) = "IRSstatus" arFormDBFields0(20) = "IRSstatus" arFormValues0(20) = Request("IRSstatus") FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 FP_SaveFieldToDB fp_rs, Now, "Submitted" fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close Session("FP_SavedFields")=arFormFields0 Session("FP_SavedValues")=arFormValues0 Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") Response.Redirect "confirm.asp" End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> <% Response.Buffer = True %> CommonApplication -- New
Connecticut Common Application Form

This is a sample on-line application


 

 
Please answer all questions on this page.
Legal name of organization:
Address of organization:
Chief Executive officer:
Contact Name:
Principal purposes and services
 of your organization.
Geographic area served:
Number of people served annually:
Number of employees:
Ethnicity of board:   % minority
Ethnicity of staff:   % minority
Ethnicity of population served:   % minority
Specify purpose for which funds are requested:
Is this program new?
Amount Requested:
Organization's total budget:
Project's budget:
Does your organization receive support from United Way, Combined Health, Arts Council or other federated funds?
Does your organization have a letter from the IRS stating 501(c)3 status: