The Michael W. Solberg Financial Grant Application 2023

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* 1. Grant Recipient Contact Information

Name *

Address *

Address 2 *

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address *

Phone Number *

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* 2. Nominated By

Name

Email Address

Phone Number

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* 3. Why should the nominee receive a financial grant?

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* 4. Relationship to the Receipient?

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* 5. Recipient Fundraising Page (social media, GoFundMe, etc.)

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* 6. How did you hear about The Michael W. Solberg Foundation?