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Receiving Department

By signing you agree to all the terms and conditions stated in the application overview. You agree to use all grant funding received in accordance with the purpose stated on the second page of this application. You agree to ensure that copies of all receipts, or other sufficient proof of spending if asked.to the Foundation upon completion of your project.

Using Complete Sentences, Please Answer the Following Questions in 150 Words or Less:(if scanning or mailing you may provide your answers on a separate page if so desired)

1. What are you requesting grant funding for?

2. Who will be impacted or benefit from receiving this grant? (Seniors, youth, veterans, etc.)

3. How would you spend the grant funding? Please precisely explain how funding will be expended. For example, if you are cooking a holiday meal for the needy, provide an estimated dollar amount for each expenditure. Explain how much will be used to purchase. Food, how much would be spent on dinnerware, etc.

4. How will receiving a grant better facilitate involvement in your community.