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CRDSS Enrichment Fund Application
Created in memory of Edward Scott Zdenek, our Enrichment Fund seeks to reimburse families annually for some or all of the cost of activities or items that will enhance the lives of our Ds members.
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Email *
First & last name of Ds Member who will benefit from these funds:
 *
Ds Member's birthdate: *
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First & last name of person completing application: *
Complete Mailing Address (Street/City/State/Zip): *
Best phone number to reach you: *
Awards are based on the CRDSS fiscal year from July 1 to June 30 of the next year. Has the recipient received an Enrichment Fund award during this current fiscal year?
 *
Amount of funding requested (members may request up to $500 per fiscal year; more than one request may be made during the fiscal year if you have not met your $500 limit):
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What is your request for? Name the activity or item for which these funds will be used: *
If this will fund an activity, what are the date(s)? *
How will participation in this activity or use of this item enrich the life of the Ds recipient?
 *
Thank you!  Please review your information and hit the SUBMIT button below. We will respond as soon as possible with further information about your request.
A copy of your responses will be emailed to the address you provided.
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