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2. Form Due Information
   This form is due 60 days upon receipt of funding by the applicant. Organizations that do not comply within the 60 day time period may not apply for funding for the following year.
4. Date Mayor's Youth Fund was approved by Council
   Date Mayor's Youth Fund was approved by Council
6. Name of Organization*
8. Contact Name*
10. Address*
12. Phone Number
13. Email Address
15. Amount of Donation Received*
17. What Items were purchased with Mayor’s Youth Fund Donation?*
19. Please describe the activities and the date the group/individual participated in related to reduce, reuse and recycle? Please provide written description, brief City Council presentation, and/or photos.
21. Attach Photos, Presentations, or Other Information
23. eSignature*
24. Today's Date*
    Today's Date
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field