Little Rapids Corporation


Little Rapids Corporation - Egan family Foundation, Inc.
Please submit requests to be considered for our Spring meeting by May 1, and by November 1 for our Fall meeting.

Please complete the following:

  Note: All fields marked with an asterisk(*) are required.  
  * Date of Request 

Lori Selissen, Executive Assistant

Phone: 920-490-5309

  * Organization Name   
  * 501(c)(3)   
  * Contact Person Name   
  * Contact Person's Title   
  * Address:   
  * City:   
  * State:   
  * Zip:   
  * Telephone Number   
     Fax Number   
  * E-Mail Address   
  * Counties or Areas Served   
  * Amount Requested   
  * Total Project Cost   
  * Please describe the purpose for this contribution request. (1500 character limit)
  * Describe the project for which funds or services are being sought. (1500 character limit)
  * Give a brief explanation of your organization, its objectives, population served, and
geographic area of service. (1500 character limit)

  Are any Little Rapids Corporation associates involved in the fund drive? Organization?
If yes, provide names. (1500 character limit)


Please attach any additional supporting documentation.

Please zip multiple files. 5MB limit


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