Application for New Ideas Funds
Special Needs Foundation of Des Moines County. 829 Harrison Ave. Burlington, IA 52601 Phone 319-752-8222
New Ideas Committee Criteria
Must be a resident of Des Moines County.
Items or services purchased are for individuals or groups and become their property
Items or services should improve or enhance the quality of life for disabled persons and their familes.
To create an awareness of disabilities in schools and communites in Des Moines County
Funds must be spent within 6 months of receipt on the equipment or service specified below
Application for New Ideas Funds:
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Recipient's Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
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Postal / Zip Code
Service/ Equipment Needed
Where to Purchase
Costs (Including shipping, etc.)
Please attach a formal letter of request to this application
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