2018 Request For Funds

Please print out form below, fill it out, sign and date. Please send this form together with your 2018 Use of Funds Report Form.

2018 Annual 40 Years on Foot Good Friday Walk Request for Funds.
To be considered for funding, you must complete this application. The
deadline to request funds is Friday, March 30, 2018. Applications received after this date will not be considered.

Name of Organization submitting request:__________________________________________

Amount Requested:____________________________________________________________

Contact Person:________________________________________________________________


Phone:_________________ Email:_________________________________________________

Briefly describe the need for which you are requesting this grant:_______________________





Who will benefit from this grant? How many individuals?_____________________________



Include a copy of the total Program Budget for this project: Attach a separate sheet with program budget listing items separately, ex: program name, staff, supplies, utilities, etc
Enclose a copy of your 501c3 letter or the name of your fiscal agent
Qualifying Participants: As mentioned last year, in order to be eligible for funding, someone
from your organization must be an active participant on one of the following Committees

or on the Board of Directors. Please check where you are participating and add the name(s)
of those who are serving.
If you are requesting funds for more than one agency, or for more than one program in an agency, an individual from each agency/program must serve on the Board or a committee.
Board of Directors:_____________________________________________________________

Step Out Site Committee:_______________________________________________________
Fund Raising:___________________________________________________________________
Signed:______________________________________________    Dated:_______________
Please return to:
Annual Good Friday Walk
c/o John Lawlor
PO Box 72830
Providence, RI 02907

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