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Funding Application
*Please Note:
Applicants should review
Policy Bulletin 3-28, Escheated Funds Account
located in the Cooperative Documents prior to beginning the application process. [
View Policy Bulletin
]
Organization Name
Contact Name
Organization Mailing Address
Contact Telephone
Contact Email
Number of Years of Organization's Existence
Application Date
Project Title
Total Project Cost
Amount Requested from Tri-County REC ($100-$3000)
Describe the Mission of your Organization
Explain the Project/Purpose of the Request
Impact on Community and Tri-County Members
If we are unable to award the full funding request, are you able to complete the project?
If your project’s funding request is approved, do you agree to provide project updates upon request?
Yes
No
Have you been awarded funds from the Community Service Funds within the last 12 months?
Yes
No
If Yes to Awarded Funds, when was the last time you were awarded funds?
SUBMIT APPLICATION
RETURN TO COMMUNITY SERVICES