Winnebago County Bar Association

The name of the organization/charity:

Address

City

State

ZIP

Contact Person

Telephone

IRS Tax ID No

Purpose of organization/charity

How does the organization/charity/project propose to strengthen or uphold the American jurisprudence in Winnebago County, Illinois?

Organization/charity present sources of funding (Include current financial statement, if available)

Amount requested

1. Description of the project

2. Assessment of the need for the work to be done

3. Purpose for which the grant will be used

4. Projected budget for the project

5. Availability of other identified sources of support.

6. Timetable for completion

7. Date that a report to the WCBF will be provided detailing how the funds were spent.

8 The number of individuals that will benefit from funding by the Winnebago County Bar Foundation

Additional comments

Organization/Charity

Signature

Title

Date

Grant Request Application Form