Grant Application – Members & Staff

Requesting Group

Group Representative Name

Group Representative telephone number

Group or Representative email

Select a grant source consistent with your project
UnrestrictedSigmund-Safer MusicSafer Visual ArtsPearson Social ConcernsHopp-Hendrickson Religious EducationBill Ogren Religious EducationSnouffer-Hutchinson Healthy Sexuality

Requested amount

Date funds needed

Description of how the funds will be used:

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