Application

Standard Application Form

Open  Hands

Mission Statement:  Open Hands dedicates its support to:

  • people who are challenged by a life situation, illness, old age, or dying
  • the care of the health care professional
  • the activities of volunteers
  • education and research in related areas

Name:

Address:

 

Telephone Number:

E-mail Address:

Contact Person:

Description of Need or Project:

 

 

Time Frame for Completion:

Financial Need Estimate:

Date:

Board Notes:

 

Board Responses: