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Elizabeth G. Butler Angel Foundation

Grant Forms

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We can help by funding…

 Transportation to and from Teen Symposiums

 Art Against Abuse (materials for art projects) based on number of students participating—call for more information

 Speakers to address teen dating abuse

 Contact information for teen dating abuse programs in Westchester

 Ideas to get our youth to understand and aviod teen dating abuse???  Please let us know.   We’re open to any and all fresh approaches.

 

(Contact the Elizabeth Butler Angel Fund)

 

Grant Form

Please copy the following grant form and fill it out in the appropriate information.

THE ELIZABETH BUTLER ANGEL FOUNDATION

GRANT REQUEST FORM

P.O. Box 228

North Salem, NY 10560

(914) 729-1969 // e-mail: SpiritofElizabeth@msn.com

Organization Information

____________________________________________________________________________________________________________________________

Name of Organization Legal name, if different

____________________________________________________________________________________________________________________________

Address City State, Zip

____________________________________________________________________________________________________________________________

Phone Fax Web site address

____________________________________________________________________________________________________________________________

Name of contact Title Phone Email

Grant Request Description

Please describe request below:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Teen-Dating-Abuse Awareness Counciling will be (please check one):

Provided In-House: ____________________ Delivered by Non-Profit Organization: ________________________

Budget

Amount requested:

Description:  ______________________________ 

$  ______________________________ 

Description:  ______________________________ 

$  ______________________________ 

Description:  ______________________________ 

$  ______________________________ 

Number of Participants: ____________________________________________

SIGNATURE _____________________________________________ DATE ____________________________________________

FOUNDATION USE ONLY

Date Received: _________________________________________________ Authorized By: _________________________________________

Notes: _____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

"Our goal is to help all young adults understand and implement the concepts of open communication, self-discipline, and self-respect in relationships. The fund will help young women and men understand their innate value as people and teach the warning signs of domestic violence."

EGB Grant Request Form – 6/23/08

 Grant Recipients:

 

 Northern Westchester Shelter

 My Sister’s Place

 Women’s Resource Center

 North Salem Central School District

 Spirit of Elizabeth Emergency Fund

 Healing Hearts

 Compassionate  Friends

 Hammond Museum

 Girls Scouts of Westchester & Putnam

 North Salem Advocates for the Arts

 

Our goal is to help all young adults
understand and implement the
concepts of open communication,
self-discipline, and self-respect
in relationships.