Beneficiary Designation

The application period for beneficiary designations for the Foundation’s 2018 Community Dinner Dance has closed. Please visit us in summer 2018 for details about applying to be named 2019’s beneficiary.

Name of Organization (required)

Address (required)

Phone # (required ex: 1234567890)

Email Address (required)

Contact Person (required)

Legal Status (required)

Establishment Date (required)

Tax Status (required)

Service Area (required)

Mission/Purpose (required)

Justification for Funding Request (required)

Explanation of Use of Funds (required)

Upload your letter

Download the application form