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 *
Your answer
Name of individual completing application *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone *
Your answer
Email *
Your answer
Has the recipient received previous enrichment funds during the current calendar year? *
Required
If yes, how much funding was received and what was the purpose of those funds?
Your answer
Item requesting funding for *
Your answer
Amount of funding requested *
Your answer
Date(s) of activity
Your answer
How will participation in this activity enrich the life of the recipient? *
Your answer
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