IDAHO FALLS CIVITAN CLUB PROJECT APPLICATION

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Thank you for your interest in helping the Civitan Club of Idaho Falls be Champions of Service.

All Project Applications are reviewed by the Civitan Board of Directors for approval at their monthly Board Meeting.

It is important to complete the application to the best of your ability for full consideration.

2/6/2024

YYYY

Full Name of person completing this request

Organization Name *

Project Name *

Civitan Impact Area *

Estimate the number of individuals lives that may be impacted by this project. *

0-10

10-20

20-40

40-50

50-100

More than 100

Did a Civitan Member refer you to apply?

Yes

Clear selection

Name of Civitan Member that referred you.

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