Skookum Community Support Application

The Community Support Committee meets quarterly to review applications, please submit applications as least four months in advance of when the funds are needed.

Purchases with petty cash or with Skookum credit cards are not eligible for reimbursement.

Applications for the current year will be not be accepted after September 30^th.

Organization Information
Organization Name:*
Organization Phone:*
Populations Served:*
Mission Statement:
Contact Person
First Name:*
Last Name:*
Address:*
City:*
State*
Zip Code:*
Organization Email*
Budget Information
Requested amount:*
Total budget:*
Amount of funding from outside Skookum?*
Date of event or when funds are needed:*
Proposal
Why do you want these funds? What are your goals and anticipated outcomes?*
How would your request directly impact the lives of people with disabilities?*
Has Skookum donated funds to your organization in the past?*
- Yes
- No
How much?*
If we have donated to your organization in the past, how have those funds been utilized?
Who is your Skookum Contact/Referral?
First Name:*
Last Name:*
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Name
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Organization Information

Contact Person

Budget Information

Proposal

Who is your Skookum Contact/Referral?