Grant Recommendation Form

Use this form to complete and return your grant recommendation online. Otherwise, click the preferred format to print off a copy of the form to complete and return by fax or mail. Word document format or PDF document format

Please note that this online facility uses a password field rather than a signature to confirm the authenticity of the grant recommendation. The password field must be used if you want to use the online facility. Please, also, include your name in the Donor/Advisor Signature box, so we know who is making the recommendation. To establish your own unique password please contact Kathy Moriconi, Administrative Manager, 978-777-8876 or k.moriconi@eccf.org.

On receipt of this online request, ECCF will confirm the authenticity of the request and return a copy of the recommendation to the submitter at a pre-determined email address. ECCF will then proceed to process your grant recommendation in the normal way.

I recommend the following distribution from:

Name of Fund Date:

Recipient Organization:

Address:

City: State: Zip:

Contact person:

Title:

Telephone: Fax:

E-mail:

Amount of grant:

Purpose (how are the funds to be used by the organization):

I wish to remain Anonymous (Check one) Yes No

In signing this grant recommendation the Donor/Advisor(s) attest to the fact that this grant recommendation does not represent payment of a pledge or other financial obligation nor will the Donor /Advisor or any related party receive any personal benefit in exchange for or in connection with this recommended contribution.

DONOR/ADVISOR SIGNATURE:

Password

Grant Recommendation Form

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