Fill out this form to request funds for the educational purposes of your organization. Money will be granted twice a year.

One request per application.

Deadlines are December 31st and June 30th.

Please send any additional documents to hotspringsendowment@gmail.com

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Organization Request is for

Check Payee

EDUCATIONAL Purpose of Request for Funding

Total Cost of Project

Amount of Funding Requested

What has the individual/group done to raise funds on their own? And what is the amount that has already been raised?

Number of people who benefit educationally from this request

If this request includes travel, what are the expected travel dates and travel destination?

Adult Contact (If Applicant is a minor)