Lions Club Foundation of Fraser Valley, Inc.
Application for Funding – Fall 2012
Completed Grant Requests Will Be Accepted October 1 to November 9, 2012
Funds Will Be Distributed to Successful Applicants in Early 2013
We accept funding requests each fall for distribution early the next year.
Mail Grant Requests to:
Lions Club Foundation of Fraser Valley, Inc
c/o of Bob Johannes, PO Box 1654, Fraser, Co 80442
or email to: bobnfraser@gmail.com.
Name of Organization________________________________________________________
Contact Person __________________________________________ Phone_______________________
Email Address __________________________________________________________________________
Address ________________________________________________________________________________
Amount of Request $_____________ For what time period: __________________________________
Describe purpose of organization/program: ______________________________________________
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Describe purpose of this request: _______________________________________________________
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What other funds are available to your organization? ___________________________________
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Who, primarily does your organization/program serve? __________________________________
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What geographical area does your organization/program serve? ________________________
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Have you received Lions Club funding before?__________ If yes, please indicate when,
amount of grant, and purpose: __________________________________________________________
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How will you credit Lions Club within your organization for any donation?
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Please attach the following information, if available:
-Brochure or other information on your organization/program.
-List of Board of Directors, if applicable.
Signature________________________________________________________ Date_________________
Only completed applications will be considered – attach additional information if necessary. Please call Bob Johannes at 970-726-4698 with questions.
Deadline for receipt of funding request: November 9, 2012