THE WOOD-CLAEYSSENS FOUNDATION
P.O. Box 30586 - SANTA BARBARA, CA 93130-0586
Telephone: (805) 966-0543   ~   FAX: (805) 966-1415

A   P   P   L    I   C   A   T   I   O   N       F  O  R     G   R   A    N   T
No Duplicate Copies Required
                                                                                                                                First Time Application 

DEADLINE FOR SUBMITTING THE GRANT APPLICATION IS JUNE 30th, Including all required documentation
The annual grant meeting is held in the fall of each year. YOU MUST RE-APPLY YEARLY to qualify. Updates and changes to the
application are accepted if received on or prior to June 30th. Please call the office if you have any questions.

Organization Name: __________________________________________Established: ___________________________________

Mailing Address: ___________________________City: __________________________Zip: _____________________________

Contact Person: _______________________Title: _________________________Phone Extension: ________________________

Telephone: _______________________FAX: ___________________Physical Location: _________________________________

Project Title and/or "need" for funds requested:__________________________________________________________________

Amount Requested:__________Total Cost:_______Total numbers served yearly:_________and/or monthly:_________________

Total Number of employees within organization: Full-Time:_________Part-Time:_________ Volunteers:___________________