Online Request Form Δ Applicant Name First Last PhoneEmail Agency Represented(Required)Include all agencies, if you represent more than oneAmount Requested(Required)Date of Application(Required) MM slash DD slash YYYY FOP Foundation Mission StatementTo promote and support educational and athletic opportunities for law enforcement officers, community activities to improve working environments, and provide support to distressed officers and families due to death or disability in the line of duty.How does this program meet the mission statement of the Foundation?:(Required)Please describe how the requested funds will be spent (i.e., cost of material, supplies, services, etc.)(Required)To whom will the check be made if the Board of Directors approves the funds?(Required)Date the funds will be needed:Event(s) Start Date MM slash DD slash YYYY Projected End Date MM slash DD slash YYYY Applicant Signature(Required)Date of Signature(Required) MM slash DD slash YYYY Please note: If your request is approved, the Foundation may require documentation to verify that the funds were spent in accordance with this request. As a recipient of funds, applicant agrees that all monies received will be used only in accordance with the terms of the proposal and the Request For Funds Grant as provided by the FOP Foundation, Inc.Request For Funds Procedure for Completed ApplicationUpon receipt, the completed application is presented to the FOP Foundation for approval or rejection of the request. If the Board of Directors approves the request, the funds are disbursed. If the Board of Directors denies the application, a member of the Board may contact you to discuss the denial. If funds are allocated for the event(s), the FOP Foundation reserves the right to cover the event for publicity purposes. The applicant agrees and understands that a follow up report may be requested upon the completion of the project. Any unused portion of the funds will be returned to the FOP Foundation within 30 days of the conclusion of the event(s).Applicant Signature(Required)Date of Signature(Required) MM slash DD slash YYYY