Application for Financial Assistance


Parent Organization:   

Organization Physical Address:


Organization Mailing Address:

Contact Person: Title:

  Contact E-mail:

How long has this group been in existence?

What is the mission of your organization?

Ages of children:  Geographic area you serve:

Amount you are requesting:

How do you intend to use the funds, if awarded? (please be as specific as possible):

If awarded, would these funds likely be an annual need?

Have you ever received funds from Project Legacy before?

If yes, when and how much?

Does anyone involved with your organization now serve Project Legacy in any capacity?    

If Yes, please provide details:

In order to process your application fully, please attach the most recent financial statements from
your organization. If formal statements are not available, please provide the most recent bank
statements, tax returns, or other financial documentation. In addition, you may be required to make
a short presentation to the Board of Directors of Project Legacy to answer questionss and provide
more detail about your organization and needs.

Approved funds will be awarded at next subsequent quarterly awards ceremony.



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