Form of Grant Intention
District Club Grant Projects ONLY
Name of Club
*
Please Select
Carlisle
Carlisle-Sunrise
Colonial Park
D7390 Passport
Denver-Ephrata Area
Eastern Lancaster County
Eastern York County
Elizabethtown
Gettysburg
Hanover
Harrisburg
Harrisburg Keystone
Hershey
Hummelstown
Lancaster
Lancaster Hempfield
Lancaster Penn Square
Lancaster Sunrise
Lancaster-South
Lebanon
Lititz
Littlestown
Manheim
Mechanicsburg North
Millersburg
Mount Joy
Myerstown-ELCO
Northern Lebanon County
Palmyra
Paradise
Perry County
Red Lion-Dallastown Area
Southern York County
Susquehanna Township
Uptown York
West Shore
Yellow Breeches
York
York-East
York-North
Name of Person Completing this Form
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Project Name
*
Location of Project
*
Brief Description of Project (5 sentences or less)
*
Tentative Budget Details
*
Tentative Amount to be requested from D7390
*
Signature
*
Form of Grant Intentions are DUE by March 15, 2026
FINAL Grant applications are DUE by April 30, 2026.
Submit
Submit
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