We can help by funding...
-Transportation to and from teen symposiums
-Art Against Abuse (materials for art projects) based on number of students participating
-Speakers to address teen dating abuse
-Contact information for teen dating abuse programs in Westchester
-Any other ideas to get our youth to understand and aviod teen dating abuse? Please let us know. We’re open to any and all fresh approaches.
-Transportation to and from teen symposiums
-Art Against Abuse (materials for art projects) based on number of students participating
-Speakers to address teen dating abuse
-Contact information for teen dating abuse programs in Westchester
-Any other ideas to get our youth to understand and aviod teen dating abuse? Please let us know. We’re open to any and all fresh approaches.
Grant Form
Please copy the following grant form and fill it out
in the appropriate information.
THE ELIZABETH BUTLER ANGEL FOUNDATION
GRANT REQUEST FORM
P.O. Box 228
North Salem, NY 10560
(914) 729-1969 // e-mail: [email protected]
Organization Information
____________________________________________________________________________________________________________________________
Name of Organization Legal name, if different
____________________________________________________________________________________________________________________________
Address City State, Zip
____________________________________________________________________________________________________________________________
Phone Fax Web site address
____________________________________________________________________________________________________________________________
Name of contact Title Phone Email
Grant Request Description
Please describe request below:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Teen-Dating-Abuse Awareness Counciling will be (please check
one):
Provided In-House: ____________________ Delivered by Non-Profit
Organization: ________________________
Budget
Amount requested:
Description: ______________________________
$ ______________________________
Description: ______________________________
$ ______________________________
Description: ______________________________
$ ______________________________
Number of Participants:
____________________________________________
SIGNATURE _____________________________________________ DATE
____________________________________________
FOUNDATION USE ONLY
Date Received:
_________________________________________________
Authorized By:
_________________________________________
Notes:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
6/23/08