| Date of request: | |
| Date funding is required by: | |
| Name of individual or group requesting funding: | |
| Contact telephone number | |
| Contact address: |
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| Contact email address: | |
| Amount of funding requested: | |
| Briefly describe the purpose of this request: |
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| Who will benefit from this request? |
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| Estimated number of individuals that will be served: | |
| What community need will this request meet? |
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How will your project meet(s) one or more of
the Kiwanis Club of New London Funding Criteria? |
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How will your project meet(s) one or more of the
Objects of Kiwanis International? |
|
List any other aspects of your Organization/
Program that should be considered: |
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| Image Verification |  | |
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