2019 ABB Cares Grant Application
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NOMINATOR'S INFORMATION
Practice Name: *
Contact Name: *
Phone Number: *
(xxx-xxx-xxxx)
Email Address: *
Street Address: *
City, State & Zip: *
NOMINEE'S INFORMATION
*This information will be used only to notify grant recipients.
Name of Charity: *
Contact Name: *
Phone Number: *
(xxx-xxx-xxxx)
Email Address: *
Street Address: *
City, State & Zip: *
Distance from primary office of practice to local office of charity: ____ miles *
1. Executive Summary: Describe the non-profit organization, its mission and its programming. *
500 words or less
2. Reason for Nominating: Explain why you are nominating this organization and your personal connection to it. *
500 words or less
3. Community Impact: Describe the organization’s impact on the community. Include quantitative data such as number of people served and programming outcomes or use illustrative examples and anecdotes to describe the charity's impact on quality of life. *
500 words or less
4. Grant Impact: How will this grant be utilized by the organization? Describe specifically what the grant will fund. *
500 words or less
SUPPORTING INFORMATION
If available, please supply up to three supporting documents such as photos, testimonials, letters of recommendation, annual reports, brochures, fundraising kits, newspaper articles or press releases. No websites or video will be accepted. (Limit 3) These will need to be emailed to: ABBCares@abboptical.com. Please be sure that the nominee's information is in the subject line of the email.
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