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2022 Grant Request Form
If your organization would like to be considered for a
grant, please fill out this form.
Question? Please email
Committee Chair, Janet Krochman
jkrochman(at)jlkcpa(dotted)com
Name of Organization Requesting Grant
Address
Company Email
Tax ID#
Website
Contact Name
Contact Phone Number
Please share a brief overview of your organization
What communities do you serve and what is the range of their needs?
Please provide an overview of how you would spend these funds and how they will benefit your organization
Feel free to add any additional writing or materials.