REQUEST FUNDS

PLEASE COMPLETE ALL FIELDS ON THIS FORM. Incomplete requests will not be processed. All required fields below must be filled in. ONE STUDENT PER REQUEST FORM. You must submit one request for each student and each activity. You may submit as many requests as needed. If you have questions about completing this form, please call Linda Price at (410) 935-3624. PLEASE GIVE 48 HOURS’ NOTICE FOR YOUR REQUEST. Requests made under 48 hours notice may not be processed in time to meet the activity deadline. EACH CHILD MUST HAVE THEIR OWN REQUEST FORM.

Parent/Guardian Name * (REQUIRED)

Parent/Guardian Home Mailing Address (street address, apartment #, city, state, and zip) * (REQUIRED)

Parent/Guardian Contact Phone # (444-555-1234 then type Home, Work or Cell) * (REQUIRED)

Parent/Guardian Second Phone # (444-555-1234 then type Home, Work or Cell) * (REQUIRED)

Parent/Guardian Email Address * (REQUIRED)

Student Name * (REQUIRED)

Student Age * (REQUIRED)

Student Grade * (REQUIRED)

Student School * (REQUIRED)

What are funds needed for? Example: Rec Soccer, Field Trip etc. * (REQUIRED)

Dollar Amount Requested: * (REQUIRED)

Make Check Payable To: * (REQUIRED, cannot be made out to the parents or guardian)
Must be a local school, rec council, or coach's name.

Program Contact Name, Phone # & Address if not the school * (REQUIRED)

Have you received funds from us in the past? * (REQUIRED)
YesNo

Comments/Extenuating Circumstances:

If you have questions completing this form, please call Linda Price at 410-935-3624.

If you have questions about completing this form, please call Linda Price at 410-935-3624. Disclaimer Information.

My Neighbors Foundation has the right to request financials.
Request could be subject to approval from the board.
By submit this request for funds, I am giving my permission to MNF to verify data with the school.

My Cart

REQUEST FUNDS