GRANT
APPLICATION
Contact Person Making Application __________________________________________
Contact
Mailing Address ___________________________________________________
________________________________________________________________________
Contact
Phone: (H) ___________________________ (W) ________________________
Fax:
________________________ E-mail: ____________________________________
Sponsoring
Group (if any): _________________________________________________
Alternate
Contact Person: __________________________________________________
Address:
________________________________________________________________
Phone
(H): _______________ (W) _________________ E-mail: ___________________
Location
of Program: ______________________________________________________
Type
of Facility to be used in Programs: _______________________________________
Existing
Equipment Available for Program: ____________________________________
________________________________________________________________________
Date
and Length of Program: ________________________________________________
Please
answer these questions by attaching a clear separate typed sheet.
Membership in the USFHA is encouraged but not required.
Mail Application
to PO Box 131, Hadley, MA 01035
Fax Application to
413-549-8251