Please fill out completely.  

Each agency requesting funding will have the opportunity to make a brief (< 5 minutes) presentation to the local board in support of application.  Funding decisions will be made following the meeting.

You may be required to submit specific documentation as to where the money is spent.  Unspent funds must be returned to the National Board (and thus are lost by our county).  If an agency is unable to spend all their allocated funds, they should contact the local board chair as soon as possible.