Lowes Scout Grant Application Form

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$100 Grant Application Form
Local councils may customize this form. For example,
additional information may be requested of the Scout;
instructions, background information, council contact
information, and approval signature lines may be added.
Name:
Age:
Existing information on the application should remain.
Address:
City:
State:
Zip code:
Phone No.:
Unit No.:
Unit type:
(Troop, team, crew, or
ship)
Email:
Council:
District:
Project Information
Provide copies of the Contact Information page (completely filled in) from your workbook as well
as the Approval Signatures page and your Fundraising Application.
Start date (may be approximate):
Location of project (city and state):
Type of project:
Brief description of the project:
Blackhawk Area Council Contact Information
Council Staff Advisor:
Mr. Everette Sherrod
2820 McFarland Road
Rockford, IL 61107
815-397-0210, ext. 7513
Council Follow-Up Volunteer:
Dr. Roland Barnes
1517 Charnbrook Drive
Johnsburg, IL 60051
815-344-9118 (Home)
815-344-3329 (Home Fax)
815-678-7751 (Office)
815-678-6062 (Office Fax)
815-353-1626 (Cell)

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