Laverna M. Smedley Charitable Foundation

Applications accepted from February 1st - April 30th ONLY.

Today's Date*

Applicant Name*

Applicant's Status*

Select or enter value

Phone Number*

Email*

Contact Person and Title*

Mailing Address*

Amount Requested*

Give a brief summary of your request explaining the purpose of this request and specifically what this contribution will be used for.*

Describe how the use of this gift relates to the purpose of the Smedley Foundation Trust as outlined in the Application Procedure.*

Do you receive funding from other campaigns (e.g. United Way) or scholarship opportunities? If so, for what purpose and in what amount and whether or not any funds have been retained from that funding for use in this request?*

If Non-Profit, give a brief description of the mission of your organization and its role in the community. Also give a brief description of the membership and types of programs which comprise your organization.*

If student applicant, provide*

1. Proof of program enrollment; 2. Transcript from higher learning education showing minimum GPA of at least 2.0, 3. Copy of FASFA OR Financial Assistance Questionnaire (found on the same webpage as the link to this application)

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse