Online Economic Relief Initiative Grant Application

 

Online Economic Relief Initiative (ERI) Grant Application

Fields marked with a * are required.

Phone Type: *

CellLand Line

Accept Texts: *

YesNo

Statement Of Needs
Statement of Spending
Read & Initial
I agree to account for and return any amount of the unused / unaccounted for allocation.

By checking this, I understand that I have given the Adams County Community Foundation / United Way of Adams County permission to share my application with other committees so that I may beeligiblefor assistance beyond this selection committee.

X