Vision Haywood County Grant Application

Type of Request

Education

Cultural

Scientific

Literary

Funding Requested

$

Total Project Funding

$

Other sources of funds:

Requesting Organization:_____________________________________________________________

School: (if applicable) ______________________________________________________________

Teacher (if applicable) ______________________________________________________________

Approval by Principal if school related

Signature

Date

Description:

_____________________________________________________________

How will the

Money be used:

Purpose:

How Does the

project benefit the

community?

Population:

Who are the

people involved

and who is

benefitted

Applicants:

Name (Printed)

Signature

Date

Name (Printed)

Signature

Date

Action by Foundation Board:

Approved

Not Approved

Name (Printed)

Signature

Date

Please Attach any additional information you feel would be helpful