German Cultural Society of Erie

Grant Request Application Form

Complete application and return to the German Cultural Society of Erie. Photocopies are acceptable. Use additional sheets as necessary. An independent advisory committee will review applications.

GRANTS WILL BE AWARDED APPROXIMATELY 60 DAYS SUBSEQUENT TO RECEIPT OF APPLICATION.

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Individual or Organization Requesting Grant

Name __________________________________________________________________

Please print

Address ________________________________________________________________

_______________________________________________________________

City ___________________________________ State ___________ Zip _____________

Telephone _______________________________ Email __________________________

Is applicant a business or ‘for profit’ entity? YES NO (circle one)

Project Title _________________________________ Grade Level __________________

Requested Amount ___________________________ Total Project Budget ____________

School or location where project will be implemented ______________________________

Itemize how money will be spent:

Item ___________________________________________________ Cost ____________

Write a summary description of the program, activity, etc. for which your request is being made.

Signature of applicant or representative of group:

_________________________________________________________________ Date __________________

_________________________________________________________________

(print name)

Return completed application and supporting materials to:

Paul E. Fischer

6366 Browning Circle

Erie, PA 16505