• Region III Overeaters Anonymous

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Please complete the following funding request form. Once completed the form will be reviewed by the Ways Means and Finance Committee for consideration. We will contact the sponsoring Intergroup for Feedback and you will be notified of our decision. Funds are limited and requests are filled on a monthly basis with preference given to Groups who have not received a prior grant.

Email *

What is today's Date *

YYYY

This request is for which of the following grants?

Technology Needs for our Group to go hybrid or to reach more individuals

Diversity Focus - Ideas designed to increase the diversity of the group.

Young Persons - Funding needed for an event geared to reaching the young person

Spreading the Message - Funding needed to spread the message of OA to your surrounding area.

Clear selection

How much do you need? (Maximum request is $500.00 per category.)

Please describe your anticipated use of the funds *

Do you have the volunteers necessary to bring the project to completion?

Yes

Maybe

Clear selection

What is your timeframe for starting the project?

as soon as we receive funding

within 30 days

Within 90 days

Within 6 months

Beyond 6 months

Are there any funds available through your intergroup for this project? If Yes, Have you requested funding there first?

Contact info

Group / Meeting Name and Group Number

Intergroup You are Associated with (Leave blank if not associated with an Intergroup)

Your name *

Phone number *

E-mail

Preferred contact method *

Phone

Required

Intergroup Chair Name (Leave blank if not affiliated with an Intergroup)

Intergroup Chair Phone Number

Intergroup Chair Email Address

If you are part of an intergroup, have you discussed this request with your intergroup Chair?

Please indicate any other questions you have of us. And/or additional information you would like to share.

A copy of your responses will be emailed to the address you provided.

Submit

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