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*Our address will be forwarded to you after your submission. Only mailed and printed applications will be considered.

First Name

Last Name

Organization

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Website (If Applicable)

A brief description of the history, purpose, goals, and activities of your organization

A statement of the need for support and how support would be used

A copy of the current operating budget and most recent audit

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A program budget summary

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A certificate of tax exemption

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Copy of the latest annual report, newsletters, or materials to illustrate your work

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The amount requested from The Weiner Family Foundation. (You may also include a “menu” of varying projects that need funding)

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Email: info@theweinerfamilyfoundation.org | Address: Philadelphia, PA 19147

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