Small Grant Application Form – Episcopal Charities of Southeast Florida

- Step 1 of 3

Date: *

Project: *

Rector / Priest in Charge: *

Church: *

Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Phone: *

Name *

First

Last

Email *

Confirm Email

Phone: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Describe the Project: *

What is the Project expected to accomplish? *

What geographic areas are serviced by the Project? *

How will the Project accomplish its goals? *

Describe the Volunteer Leadership that will run the Project: *

Describe specifically how the grant money will be used: *

Briefly describe the total budget for the project and major areas of support: *

Give beginning date and duration of the Project: *

Other information you would like to include:

Name

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Episcopal Charities of Southeast Florida
1750 East Oakland Park Blvd.
Fort Lauderdale, FL 33334
(561) 310-3750