LCSC Community Grants Application 2018-2019
The Lewis Community Spouses' Club provides welfare grants to local, charitable, non-profit organizations to support our service members, veterans and families. Our largest donations provide college scholarships for deserving military children and spouses. OMISSION OF ANY INFORMATION REQUESTED ON THIS FORM MAY CAUSE YOUR REQUEST TO BE DELAYED OR DENIED. Please contact Rachel Well with any questions, communitygrantslcsc@gmail.com. APPLICATION DEADLINE IS MARCH 25, 2019.
Email address *
Organization Name: *
Your answer
Contact Name: *
Your answer
Name of person completing this, if different:
Your answer
Anticipated date of Need: *
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Mailing Address: *
Your answer
501 (c)3 Tax ID number, if applicable:
Your answer
Telephone: *
Your answer
Organization Website: *
Your answer
Organization Mission Statement: *
Your answer
Specific purpose of funds requested: *
Your answer
Amount requested: *
Your answer
Has your organization done any fundraising in the last 12 months? *
Required
If your organization has not raised funds in the last 12 months, WHY?
Your answer
If your organization has raised funds in the last 12 months, please state the amount.
Your answer
If your organization has raised funds in the last 12 months, what organizations gave funds?
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Total number of members in your organization/people served: *
Your answer
Total number of military service members/military family members served: *
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Age groups served (check all appropriate categories): *
Required
Please state any other information you wish to be considered by the LCSC Community Grants Committee?
Your answer
Did your organization receive funds from LCSC Community Grants in 2017-2018? *
If your organization received funds from LCSC Community Grants in 2017-2018, how much did you receive?
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If LCSC awards your grant request, whom should the check be made payable? *
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Acceptance of an LCSC grant automatically authorizes LCSC to publicly name/acknowledge your organization. Do you agree? *
All checks awarded by the 2018-2019 LCSC Community Grants Committee must be cashed by June 1, 2019. Do you agree? *
Please type your name below to certify that all answers are correct and true. *
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