$___________________APPLICATION FOR CROSS-CULTURAL MISSION FUNDING
CONVENTION 2006
DESCRIPTION:
The women (and men) of our district continue to collect, trim and save
cancelled postage
stamps which are then sold. Funds collected are used for CROSS-CULTURAL
mission
outreach within our district. According to the vote of the convention delegates,
the award
will depend upon the total funds received during the biennium.
GUIDELINES:
_______________________________________________________________________________
For Office Use Only
Date Application Received ________________________________________________
Project Number __________________
Proposal Chosen Yes ______ No ______
Letter Sent to Submitter (Date) ______________________________________
Letter and check sent to Recipient (Date) ______________________________
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APPLICATION FOR CROSS-CULTURAL
MISSION FUNDING
(Revised 3/03)
$ __________________________
Amount requested
_______________________________ _
__________________________________
Name of Grant
Name of Grant Administrator
_______________________________
_______________________ _______ _________
Street Address
City
State Zip Code
________________________ ______
_________________________________
Phone
Fax/E-mail
______________________________________________________
__________________
Signature of Grant Administrator
Date
__________________________________________________________________
______
Address to which funds will be sent (if different from above)
SUBMITTER INFORMATION (Please print)
___________________________________________________ ______________________
Name (LWML
member)
Phone
___________________________________________________ _______________________
Street
City
State
Zip
________________________________________________________________________
Signature
Date
PREPARING THE PROPOSAL:
State the need (s).
Provide a brief description of the mission and how funds will be used if granted.
Suggested amount of funds to request: $500 – $1,000.
(Note: may not be the amount you receive.)