ECCF Grant Recommendation Form

Grant Recommendation Form

Use this form to complete and return your grant recommendation online. If you would prefer to fax or mail a hardcopy, download the form here: Word document format or PDF format.

Please note that this online form 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 form. To establish your own unique password please contact Kathy Moriconi, Administrative Manager, 978-777-8876 or k.moriconi@eccf.org.

Upon receipt of this online request, ECCF will confirm its authenticity 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.

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 name:

*Password:

Grant Recommendation Form

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