New Hope Fund Request Form

GFWC ILLINOIS METAMORA GERMANTOWN HILLS JUNIOR WOMAN’S CLUB

School requesting need________________________________

Contact person at school_______________________________

What is the need? Please give ages and specific sizes if possible. ___________________________________________________________________________________________________________________________________________________________________________

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Date request submitted___________.E-MAIL TO: officers@mghjwc.org

Goal date for needs to be met______________.

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Date request received___________  Date request met____________ Unable to meet request__________

Outside organizations used_______________________________________________________________

GFWC IL MGHJWC donations ____________________________________________________________

GFWC IL MGHJWC for contact this request__________________________________________________