Project Grant Application

Date*
MM slash DD slash YYYY
Name*
First Last
I am a current WALC member*
- Yes
***Grant applications must be submitted by a member of WALC
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Organization (If applicable)
Organization's Mission Statement
Amount Requested?*
Need or problem you hope to address:*
How you intend to spend the funds (Itemized budget)*
Please tell us about your organization and any other information to consider. This may include a video, pictures, a paragraph, etc. Please share any information you feel supports your grant application.
A report is to be sent to the WALC President, through the contact form on the website, within 30 days of grant completion of the project or by May 1st of the following year. Additional reports may be requested, depending on the size of the grant. A presentation to WALC Board and/or members may also be requested.*
- Yes, I will send a grant report to the President, through the contact form on the website, within 30 days of grant completion or by May 1st of the following year. I will present additional reports or presentations if requested by the WALC board.

WALC