ESFC Donation Request

STEM Grant Request

Elementary, High School and Event
Apply for a STEM Grant from ESFC by completing this form and submitting, or use the print button at the end of the form to print and mail a copy to:

Leland Hite - ESFC
1654 Oak Grove Lane
Maineville, OH 45039
Ph: 513-240-1129
Email: leland.hite@gmail.com
Complete name of the applying organization*
Terms and Conditions:

The applicant agrees to provide a written report describing the effectiveness of the money toward the goal intended. The expected date for this report should be included in this application.

Not eligible are sectarian, political, fraternal, labor or commercial organizations.

No more than one donation request fulfillment per school year (June 1st - June 1st) to eligible organizations.
Address*
City, State and Zip*
Contact Name*

First NameLast Name
Contact Email*
Contact Phone*

Area CodePhone Number
Nonprofit status confirmation*
Estimated length of time the organization has been in existence*
A brief statement of mission or purpose*
Significant sponsor(s) (if any)?*
Summarized results from past ESFC donations*
Principal reasons for the request?*
Amount requested?*
Expected benefits from the donation?*
Approximate date when the summary report will be filed?*
Name and address where the check should be mailed?*
To whom should the check be payable to?*
Other information or comments you wish to make?
Should be Empty: