Wheeler County Cultural and Heritage Coalition
PO Box 7, Mitchell, Oregon 97750
REQUEST FOR MINI-GRANT - Spring 2011
submission deadline: 15 May 2011
Application Instructions: Please fill out this form and submit it to the address above or write a letter to the Coalition’s board. In such a letter, please include the information asked for in this form.
Circle amount requested: $100 $200 $300 $400 $500
Name of project, event or organization:_____________________________________________________
Description of how the grant money will be used to create/enhance the project or event:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Estimated # of people that may benefit from project or event: ___________
Applicants Full Name: ____________________________________________________
Name you want the check made out to:______________________________________
Address where to send the check:__________________________________________
______________________________________________________________________
Important!! Date you will be prepared to provide follow-up report on this mini-grant:
(Date not to exceed 6 months from issuance of funds) __________________________
Any questions? Contact Dan Cannon, Chair, Wheeler County Cultural & Heritage Coalition at 541 462-3298