Ocean City Helping Heroes Funding Request Application
501(c)(3) EIN: 87-4147636
Details:
*
Applicant Details:
*
Brief Description of your intended need, request, or project: 500 Word Limit In as few words as possible, using bullet points where you can, please give a clear and concise description of your need:
*
Proposed date funding needed:
*
Please identify the target groups for the proposed project outlined above. (More than one group can be selected)
*
Firefighters
Law Enforcement Officer
Emergency Medical Services
Emergency Services
911 Operators
Fire Marshals
Adult
Children
Families
Older Adult
Person with a disability
Other
Back
Next
Please outline projected costs associated with the need or project under any relevant categories:
Details
Cost
Equipment
Training & Education
Medical Expenses
Travel Expenses
Health & Safety
Other
Total Funding Requested:
*
Address Where Check Should Be Mailed If Approved:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Sign below to complete the declaration:
*
Submit
Submit
Should be Empty: