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Interfaith Initiative Application Form

Service projects should take place between March 1, 2015 and January 23, 2016

Collaboration Group #1

Must be at least 18 years of age

Collaboration Group #2

Must be at least 18 years of age

Collaboration Goup #3 or more (optional)

Primary contact to receive the service grant funds:

Check will be addressed to this organization

Must be at least 18 years of age

Phone Number *