Community Grant Award

Email:*
Name*
First Last
Organization*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Community Fund Grant #:*
Community Grant Amount:*
Project:*
Accept this Community Grant*

You may accept this grant by signing below.

Your organization certifies to the Davie Community Foundation, Inc. that no private individual will receive tangible benefits, goods, or services.

You also agree to comply with the requirements stated below:

1. Publicize your Community Foundation grant in conjunction with publicity / materials for your project. The Foundation reserves the right to use such publications or selected excerpts in Foundation reports and/or promotional materials.

2. Submit a written report by December 31, 2021. Failure to submit a report on time will negatively impact future grants.
Date*
MM slash DD slash YYYY
Signature: On behalf of the organization listed above, I agree to comply with the requirements listed above.*