Facilitating teams, complete this form to request your allowed community event grant funding. The total requested should not be more than $1,200. The funds used should support a community event that increases your shared capacity to know about, respond to, and prevent childhood adversity and maltreatment.

Resilient Communities: Community Grant Details

Facilitating Team Member Name Completing Form
The total requested should not exceed $1,200.
Fiscal Agent Contact Person
Describe details of event that will increase your shared capacity to know about, respond to, and prevent childhood adversity.
Drop files here or
Max. file size: 40 MB.
    Drop files here or
    Max. file size: 40 MB.
      Drop files here or
      Max. file size: 40 MB.