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

Is your Spouse employed by the RBCC?*

Yes

Did your hardship occur during your employment with the RBCC?

Yes

If Yes, have you been compensated by any other funding source like workers compensation, insurance, State funding, or from any other source?*

Yes

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?*

The Foundation is focused on helping Talon Tribe members address unexpected events that have occurred in your life. Please describe the unexpected event you have experienced. *

Upload the following documents: 1. Your personal background, 2. A detailed description of your hardship, 3. Any supporting documents like bills/statements/medical. The Foundation pays bills directly to third parties.

File upload*

Date and time

Month

Day

Year

Time

:HoursMinutes

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.

1925 Eagle Foundation

Champion our Talon Tribe, support our local communities, and contribute to the enduring beauty of our Club.

Email: info@rbcc1925.org

Phone: 302-227-3811

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