GRANT AWARD APPLICATION - THE FAIRFIELD WOMEN'S EXCHANGE

​​​​​​​​​​F • W • E​​

G i v i n g  B a c k  t o  t h e  C o m m u n i t y  s i n c e  1 9 6 2

Name Of Agency:

Address:

City/State/Zip:

Phone:


Email:

Contact Person:

What is your Organization’s Mission:

Name Of Project to be Funded:

Goals Of Project:

Who Will Benefit and How:

Where and When Will Project Take Place:

Duration/Cost/Budget of Project:

Amount of Reward Requested:

Sources and Amounts of Public and Private Funding (past 3 years):

Agency Financials:

How Do You Evaluate The Success of The Project? (Please include any printed materials
promoting your agency.)

***For consideration of your request please provide all required information by 4/15/19 to:
Cindy Harmon ℅ The Fairfield Women’s Exchange 332 Pequot Ave. Southport, CT 06890