The Ellsworth Foundation
APPLICATION FORM cont

Please describe why you are applying for a grant, how you would spend it if you were successful, and its link to the objects of the Ellsworth Foundation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please send any material or further information you have to support this application to the Secretary/Treasurer.

Signature ……………………………………..

Date …………………………………………

Signature of parent or guardian (if applicant is under 18)

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