Percival P Baxter Foundation for Maine's Deaf & Hard of Hearing Children

Grant Request

Our foundation is dedicated to support and fund initiatives that will strengthen our community.

Please fill out the Individual/Family Grant request form and our board will evaluate your request. 
Please ensure that you have submitted your grant request at least one month before the date you would like to receive it.

Attendees
Address *
Address
Phone *
Phone
Name 2
Name 2
Application Completed By
Name *
Name
Address 1
Address 1
Phone 1
Phone 1
Purpose for Grant
Pre-Approved Programs
Date of Upcoming Event
Date of Upcoming Event
Date Previously Attended, if applicable
Date Previously Attended, if applicable
Not Pre-Approved Programs
Event Contact
Event Contact
Contact Phone
Contact Phone
Fees
$
$
$
$
$