Arlington
Community Foundation
Grant Recommendation Form
As
Advisor to the _____________________________________________ Fund, I
recommend that the Arlington Community Foundation consider the following
grant(s):
1. ______________________________________________________$_____________
Name of Organization
Amount
______________________________________________________________________
Contact Name
______________________________________________________________________
Purpose
______________________________________________________________________
Address
______________________________________________________________________
City, State, Zip
______________________________________________________________________
Special Instructions
2.
_____________________________________________________$______________
Name of Organization
Amount
______________________________________________________________________
Contact Name
______________________________________________________________________
Purpose
______________________________________________________________________
Address
______________________________________________________________________
City, State, Zip
______________________________________________________________________
Special Instructions
The
above suggestions (1) do not represent the payment of any pledge or
other financial obligation and (2) may not be used to provide goods
or services from which I would receive a personal benefit. I understand
that final grant decisions are made by the Arlington Community Foundation,
whose charge it is to see that all distributions are consistent with
its broad charitable purposes.
_____________________________________________ ________________________
Signature
Date
To
include additional grant recommendations, please use additional page.
This
form may be faxed to the Foundation office: fax (703) 243-4796 and then
mailed (with original signature) to 2525 Wilson Blvd., Arlington, VA
22201.
Questions? Foundation office: (703) 243-4785
