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APPLY FOR ASSISTANCE

In seeking assistance, the Not-For-Profit organization is required to complete this application form, providing background information on the organization requesting support and an outline of the outcomes anticipated. Each project will be conducted during the length of the course.

Deacon Daniel J. Ianniello
Phone: 203-371-7853
Fax: 203-365-7609
Email: ianniellod@sacredheart.edu


Organization Name: required
Street Address: required
City: required
State: required
ZIP Code: required
Contact Person: required
Phone: required ( ) -
Fax: ( ) -
Email:
Current Staff Size:
Website:
BACKGROUND
When was your organization founded?:
Does your organization have 501(c)3 status?: required
Describe your organization, its purpose & its goals: required
PROJECT PROPOSAL
Describe the project you would like the Center to undertake. Include a description of the project's purpose and desired outcome: required
*The Center reserves the right to accept or reject projects at its sole discretion and to assign student with backgrounds it deems appropriate.


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