PVAF Grant

Initial Request Form

 

This form is for an initial or pre-approval request for financial assistance from the Pennsylvania Veterans Assistance Fund (PVAF) in accordance with PVAF's Grant Application Policy & Procedures.

 

REQUESTED BY:

Name: ____________________________________________        Chapter _______________

Address: ___________________________________________________________________

Telephone: _________________________  E-Mail:__________________________________

NAME OF PROJECT: _________________________________________________________

DATE OF PROJECT: _______/________/_________

TOTAL PROJECT COST (Estimated): $____________________________

GRANT AMOUNT REQUESTED:  $______________________________

Brief Description of Project:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

ADDITIONAL GRANTS REQUESTED:                                 AMOUNT (Requested or Approved): Name of Organization and amount.

_________________________________             $ ____________________________

____________________ _____________            $ ____________________________

PVAF  APPROVAL:              

____________________________________________________     _______________________

PVAF Officer                               Title                                                             Date

 

=====================================================================

FOR PVAF

 

APPROVED / DENIED          AMOUNT: $__________________   DATE: ____/_____/_______

Grant Initial Request Form

 

Click here to download Grant Initial Request Form