Agenda 09-25-14 Jep. L1. ZU 4 2:03M No, 6559 P. I
City of Boynton Beach
Education & Youth Advisory Board
]donation Request Form
Name of Organization. �
ContactPerson `rCxc_ Ocrsr i re`) Ti 2ndG crack c�.u .che- r
Address `� �`� --i`w ( )Ql Lk Y( a P h one Number
Am ount Requested $ 5 - 1 ,1 0 J Non-profit (SO1c3) ES NO
For Purpos rogram 1
Please describe the goals/needs/participants of the program and a brief description of current
finances and/or fundraising efforts:
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Signature Date
The Board will consider your request at its next regularly scheduled meeting. Meetings are held the
fourth Thursday of the month at 7:00 p.. at City Hall Commission Chambers.' The-public is invited to
aftu
Please return this form to:
City of Boynton Beach Recreation & Parks ]Department
c/o Sherri Claude, Education & Youth Advisory Board Liaison • • ,
PO Box 310, Boynton Beach, FL 33425 -0310
claudesCcr�bbfl.nra
(561) 742 -6224, (561) 742 -6233 (fax)
City of Boynton Beach
)Education & Youth Advisory Board
Donation Request Form
Name of Organization k iwam, i s Nl oF C
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Contact Person f- 1 �Y ttJl� �dS j aQ
Title
Address J � 5 wwU V'UW &C �� (1 Phone Number
Amount Requested $ {)v 0 o Non -profit (5016) YES NO
For Purpose /Program Wid A Aa (Isk 60 i C 4 No!- &r kro
oI U - iricCA G
Please describe the goals /needs /participants of the program a brief description of cuts•
finances and/or fundraising efforts:
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1,500 Wj our maw owe y- 4 uti' -
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Signature Date
The Board will consider your request at its next regularly scheduled meeting. Meetings are held the
fourth Thursday of the month at 6 :00 p.m. at City Hall Commission Chambers. Please visit
Nv %vw.boynton- beach.org for meeting schedules and agendas. The public is invited to attend.
Please return this form to:
City of Boynton Beach Recreation & Parks Department
c/o Sherri Claude, Education & Youth Advisory Board Liaison
PO Box 310, Boynton Beach, FL 33425 -0310
claudes@bbfl.pM
(561) 742 -6224, (561) 742 -6238 (fax)
Fraa: 09110/2014 12:01 #221 P.001l001
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will condder your raquw at ift nex MWarly saheduled meeft Meadnp uv bold to
fmk y of dw mouth at 6:00 pm. at City HO Cmmisdw Cb=bem. Meam vWt
b.dra ibr maeft schedWes and agmft. TM pubho is invkml to
Plem M= this fam to:
City dBaptw Beach Reemation & Pmks Dqwtment
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PO Box 310, DMtom Beach, PL 33425 -0310
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(561) 742, 6224 (561) 742-62 (fax)
oep, iu. iu 4 4:24rfvi No, 6448 N ,�
City of Boynton Beach
Education & Youth Advisory Board
Donation Request Form
Name of Organization ayov- p - `1
Contact Person Tit10 S- .- f LA - Tou.��
Address 6o ►M Phone Number '7
Amount Requested $ b • Non-profit (50 1 e3) ES NO
For Purpose/Program _ t � 1 GaZLL
Please describe the goals /needs /participants of the program and a brief description of current
finances and/or fundraising efforts:
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signpruip Date
The Board will consider your request at its' next regularly scheduled meeting. Meetings are held the
fourth Thursday of the month at 7:00 p.m. at City Hall Commission Chambers. The public is invited to
attend,
Please return this form to:
City of Boynton Beach Recreation & Parks Department
c/o Sherri Claude, Education & Youth Advisory Board Liaison
PO'Box 310, Boynton Beach, FL 33425 - 0310
claudesoa bbfl.ore
(561) 742-6224,(561) 742 -6233 (fax)
se .�.
Sep. u. 20 14 4:24FM ., No, 6448 P b'
n
Sep, 10, 2014 4:24PM No 6448 P. 4
City of Boynton Beach
Education & Youth Advisory Board
Donation Request Form l
Name of Organization 1w4e-jr 1.
Contact Person Title �J' r i •`
Address' -g a Phone Number
Amount Requested Non-profit(5010) S NO
For Purpose /Program i P tCa ran,
Ma ' �.c..V\ 0 1,x1
Please describe- the goals/needs /partieipants'of the program and a brief doscription of current
finances and/or fundraising efforts: y T® .
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P `e. s
Sl re Date
The Board will consider your request at its next regularly scheduled meeting. Meeting are held the
fourth Thursday of the month at 7:00 p.m. at City Hall Commission Chambers. The publio is invited to
attend.
Please return this form to:
City of Boynton Beach Recreation & Parks Department
c% Sherri Claude, Education & Youth Advisory Board Liaison
PO Box 310, Boynton Beach, FL 33425 -0310
ctaudes tubKor
(561 70 - 6224 , (561) 742 -6233 (fax)
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P. 10. 2U 14 4; 20M No, 644$ P. 1
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Freedom Shores SECME has been blessed the past 2 years because you have graciously approved our
grants. The students have benefited greatly creating projects and applying real life skills.
This year I am not only the SECME Coordinator but I am the STEM tine arts teacher, My goal is to bring
the STEM concepts of hands on learning to the entire school. I believe strongly that children learn by
doing, creating and imagining. It is the component to learning that is often missed in the general
education classroom. One of the reasons is because of funding.
I hope you consider my grants again this year. Together we can make a difference. Thank you
ry.
yep. iU. 21114 4.20M No. 5 44$ �. 1
y ..
City of Boynton Beach
Education & Mouth Advisor y Board
Donation Request Form rr
Name of Organization +J•CP f
Contact Person 1O Title 6 TC 0.
Address I ` Phone Number 6
% Amount Requested $ . c Non-profit(5016) ES NO
For Purpose /Program
Please describe the goals /needs /participants of the program and a brief description of current
fcnances nd/or fundraising efforts:
cb h P S
Ao l emft
Q , C IA a a n. �n hr, `-t`h ' tAu r ]
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Sigp Date
The Board will consider your request at its next regularly scheduled meeting. Meetings are hold the
fourth Thursday of the month at 7:00 p.m. at City Hall Commission Chambers. The public is invited to
attend.
Please return this form to:
City of Boynton Beach Recreation & Parks Department
c/o Sherri Claude, Education & Youth Advisory Board Liaison
PO Box 310, Boynton Beach, FL 33425 -0310
claudes EbbbEor
(561) 742 -6224, (561) 742 -6233 (fax)
e p. u. cu i 4 4. 24riv No. 6446 P.
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6ep. [2. [U 14 2:03rM No, 6559 P. 1
40 City of Boynton Beach
Education & Youth Advisory Board
Donsdon Request Dorm
Name of Organization l-° �e. e- CI n m
Contact Person 1 rcx c IAC.. m 1'1G` Title G l'l A G ax
Address a `I C) 0 A Lk :J Phone Number CJ r ~A
Am ount Requested S ADC) � Non - profit (501c3) ES NO
For Purpose/Progr
J
Please describe the goals/needs /participants of the program and a brief description of current
finances and/or fundraising efforts:
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signature Date
The Board will consider your request at its next regularly scheduled meeting. Meetings are held the
fourth Thursday of the month at 7:00 p.. at City Hall Commission Cham s.' The•,public is invited to
attend.
Please return this form to:
City of Boynton Beach Rem-cation & Parks Department
c/o Sherri Claude, Education & Youth Advisory Board Liaison, • • ;
PO Box 310, Boynton Beach,, FL 33425 -031® .
elaydesGe bbfl.org
(5 61) 742 -6224, (561) 742 -6233 (fax)
9 0 ill/ (AA/ all eke/ Ceee1.7 0 ei&like., •
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