"*" indicates required fields

Note: You will receive a copy of your application via e-mail once you submit this form; please be sure you enter your e-mail and other contact information accurately!

This Agreement is between The William Stretesky Foundation, hereinafter referred to as Foundation, and

Your Name*
hereinafter referred to as Recipient, and lists the guidelines as requested by the Foundation for completion of the grant:

A. Recipient Information

Mailing Address*
Director/Contact Person:
Please enter a number greater than or equal to 0.

B. Items Required for Grant Completion Report.

Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 32 MB.