Grant Application
CABRILLO GRANT APPLICATION COVER PAGE
Date of Application: ______________________
Name of Organization: ________________________________________________
Address of Organization: ______________________________________________
City, State, Zip: ______________________________________________________
Name of Program: ____________________________________________________
Telephone: ( ) __________________ Fax #: ( ) _______________________
E-Mail Address: _____________________________________________________
Name of contact person: _______________________________________________
Direct Dial Phone Number of Contact Person: ( ) __________________________
Signature of Executive Director: _________________________________________
Signature of Board Chair: ______________________________________________
The amount being requested: Spring Grant $ 1000.00 ___ # of members to
be served ________
Fall Grant $ 500.00 ___
0 Check here if this is a brand new program for your club.
Summary of project or grant request ( two or three sentences) : __________________________________
If you are applying for April or October funding indicate which category
of funds you are applying for: ____________________________________________________
Application for Board meeting Grant must be submitted to the State BOD
for review and consideration at the board meeting prior to the event to
which the Subordinate club is applying for Grant.
The funds in theses Grants may be used for any cost the club may incur
in connection with the hosting of the event.
In accepting this Grant it is agreed that any unused portion of the Grant
monies will be donated to the State Council upon final accounting of the
event.
BOD: Action: ________________________ Date: ___________________________
Copyright © 2002-2008 Cabrillo Civic Clubs of California
559-732-2038 | PO Box 3005 | Visalia CA 93278