Knights of Columbus Council #10872 Application for Financial Support  (Other than Parish Staff)
Name of Organization / Group: __________________________________________________________ Address: _______________    Street: _______________________________________________             City: _______________________        State: ______        Zip: __________-________ Name of Contact / Person making request (print): ___________________________________________ Phone: ________________________________         e-mail: _________________________________ Briefly describe the Purpose of the Requested Financial Support. Briefly describe the anticipated benefit of this support (consider benefits to needy members of your organization, benefits to your organization, community at large, Catholic Community, Catholic Church). Please provide an itemized list of items for which support is requested, in the following categories:
(Attach additional pages if necessary.)                                                                                                                          Amount Food: _____________________________________________________________       __________________________________________________________________  $ ________ Equipment: __________________________________________________________   __________________________________________________________________  $ ________ Supplies:  ___________________________________________________________    __________________________________________________________________  $ ________    Travel:_____________________________________________________________ __________________________________________________________________  $ ________ Lodging:_____________________________________________________________ __________________________________________________________________  $ ________ General Operating funds:    _________________________________________________ __________________________________________________________________  $ ________                                                                                                                 Grand Total       $ ________
Recommended Funding Source (e.g. pancake breakfast, fish fry, car wash, Dippin’ Dots, Crawfish Festival, Golf Tournament, barbecue, casino night, etc.) (ONLY REQUIRED FOR KNIGHT REQUESTORS) ______________________________________________________________________________ ______________________________________________________________________________ Signature (person requesting funds): _____________________________________ Date: ____________