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  • General Information

    Disbursement Request
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  • Grant Information

    Disbursement Request
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  • Scholarship Information

    Disbursement Request
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  • Educational Programming Information

    Disbursement Request
  • NOTE: Must comply with US Tax Code and IRS Regulations

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  • Submission

    Disbursement Request
  • The undersigned understands this is a request for disbursement only and does not constitute a commitment by or contract with the Foundation to disburse funds.

    The undersigned agrees to obtain and provide to the Foundation any documentation and other information needed to verify use of any disbursed funds, as requested. 

    The undersigned agrees that any funds disbursed as a result of this request, but not used for the purposes set out in this request, must be returned to the Foundation.

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