Canton Community Health Fund
Use this form to apply for a CCHF grant.
Who will be the primary contact person?
If different from Applicant
Per Section 501C of the IRS Code: (Proof must be mailed to CCHF, PO Box 504, Canton, CT 06019)
Duration of the program
Please itemize the specific amount being requested
Is the amount being requested for total or partial funding?
Are other groups being asked for funds?
Please provide any additional documentation that will help us to evaluate your proposal.
If you answered "Yes" to any of these questions, please Read More...
Canton Community Health Fund, PO Box 504, Canton, CT 06019
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