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Grants-in-Aid
Application
First name
Last name
Email
Phone
Mobile Phone
Birthday
Month
Day
Year
Multi-line address
Country/Region
Address
City
Zip / Postal code
Requested Grant Amount
Are you employed by the RBCC?
Yes
No
Is your Spouse employed by the RBCC?
Yes
No
Did your hardship occur during your employment with the RBCC?
Yes
No
If Yes, have you been compensated by any other funding source like workers compensation, insurance, State funding, or from any other source?
Yes
No
If you have been compensated by another funding source please submit agency names, amounts and dates of payment below
Do you rent or own your own home?
Rent
Own
How much is your rent or mortgage payment every month?
Upload the following documents: 1. Your personal background, 2. A detailed description of your hardship, 3. Any supporting documents like bills/statements.
File upload
Hardship Description
Date and time
Month
Day
Year
Time
:
Hours
Minutes
AM
Acknowledgment: I certify that the information in this application is true and accurate to the best of my knowledge. I authorize the release of this application and supporting documents to the 1925 Eagle Foundation Grants Committee.
Submit
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