The Zukerman Family Foundation




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Application for Funding
Please fill out the following application to the best of your ability. If you would like to download the application form, you can print and fax it to us. You will need Adobe Reader to view the downloaded application form.



Organization:
Address:
Charitable No.:


Phone:
Fax:
Email:


Contact Person:


For what are you seeking funding?

Core funding
New Project / Program
Ongoing Project / Program
Other:


General Purpose and activities of Organization:


What do you hope to achieve with this project / funding?


If it is a specific project, when should project start?