ST. MARTIN'S HOUSE GRANT APPLICATION
Complete and Submit On-Line
(to print a .pdf form and send or mail,
click here
.)
Name of Organization
Date
Street Address
Phone
City
State
Zip Code
Title of Project
Date of Project
Amount to be paid by soliciting organization $
Amount requested from St. Martin's House Fund $
Amount to be paid by participants $
Amount to be paid by others (list others below) $
Others :
Tell us about yourself – your organization and your role within that community.
While one or more of the managers of the fund may be familiar with your organization,
others may not be. Also, manager change periodically, as do organizations, and we need current information.
Please give us as much information as possible (Copy and Paste text into the box below if desired.)
Describe the project and its goals. Whom does it include? Is it new, or has it been done before?
If previously done, what were the results? (Use the comments box at the end of this form for details.) Note that a full report on the retreat must be made to St. Martin's House following the project, with appropriate accounting documents attached (Copy and Paste text into the box below if desired.)
Name of individual managing the retreat
Address
Phone
E-mail
Name of individual who will report results, including a financial accounting
Address
Phone
E-mail
Date the Board of Managers can expect to receive your follow-up report
Your Name
Title
Additional Comments:
