Educational Assistance Application

Please note:

Grants will not be accepted after these dates: January 30 for consideration at the February meeting or July 30 for consideration at the August meeting.
You must complete the entire application before submitting it.
You will be notified of the Board's decision via email.

Educational Assistance Grant Application Form

Organization Name

Amount Requested ($)

Organization Website

Federal ID

Full Name

Position Held

Phone

Address

How did you hear about Life Line Homes?

Grant Questions

Briefly describe the Church or Agency which is applying for this grant, explaining your mission and those you serve.

Share with us the problem your grant seeks to address and the solutions you envision with the help of our funds.

Share briefly the background and need of each student for whom you seek assistance.

What other assistance will the student(s) receive?

Share how you will report back to Life Line Homes the student(s) progress and benefit from the funds we provide.

Summarize the budget for this project, listing specific dollar amounts, including any other groups or contributing agencies and specifying the use of funds you seek from Lifeline Homes.

By checking this box, you agree to the following:

Use the funds provided by Life Line Homes for the purpose described in this application.
Return any unused funds to Life Line Homes.
Provide appropriate public acknowledgment of the grant.
Submit a followpup report/evaluation to Life Line Homes for their permanent file.
Provide pictures and/or testimonials with permission for us to use them in our publicity (printed or web).
Verify that your agency is a 501(c)3.

Signature

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