Edward Scott Zdenek Enrichment Fund Pre-Approval Form
Applying for a CRDSS enrichment funding is easy! Remember, the “recipient of the funds” refers to the person who will be enjoying the activity, even if someone else is applying on their behalf. Recipients can be anyone living in central Pennsylvania who has Down syndrome.
Recipient of the funds *
Name of individual completing application *
Address *
City *
State *
Zip *
Phone *
Email *
Has the recipient received previous enrichment funds during the current calendar year? *
If yes, how much funding was received and what was the purpose of those funds?
Item requesting funding for *
Amount of funding requested *
Date(s) of activity
How will participation in this activity enrich the life of the recipient? *
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