Hingham Sports Partnership

HINGHAM SPORTS PARTNERSHIP GRANT REQUEST FORM

Only written requests will be considered. Coaches, groups or their authorized representatives should forward their requests, in advance of incurring any obligation to Dr. Paula Girouard McCann at Hingham High School. Dr. Girouard McCann will than forward appropriate requests to The Hingham Sports Partnership Board for final approval. (PO Box 48, Hingham, MA 02043)

Name: Individual/ Organization ______________________________

Email Address: ______________________________

Mailing Address:

_______________________________

_______________________________

Phone Number: _______________________________

Description of Proposed Grant ___________________________________ ______________________________________________________________

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Grant Amount Requested: ______________________

Brief Summary of what the Grant is for, why it is needed and the impact it will have on a particular program. Please attach additional description and supporting documents as needed.

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Paula Girouard McCann, Ed.D. Date