SAFE IN HERALD5safeSAFE in HERALD 5

NEEDS BASED APPLICATION

DATE________________________

RECIPIENT’S NAME____________________________________

ADDRESS_____________________________________

______________________________________

TELEPHONE______________________________________

EMAIL____________________________________________

NOMINATED BY________________________________________

TELEPHONE___________________________________________

REASON FOR GIFT_____________________________________

________________________________________________________

APROXIMATE NEED AMOUNT_________________________

SMALL GROUP & LEADER

_______________________________________________________

CRITERIA FOR ELIGIBILITY:

  1. GOOD STANDING IN HERALD 5
  2. GOOD STANDING IN SAFE

EXAMPLES OF ELIGIBLE NEEDS:

  1. HOMESCHOOLING A CHILD WITH A DISABILITY
  2. SINGLE PARENT CURRICULUM NEEDS