Programming Reimbursement Forms - MartindePorresFoundation.org

Programming Reimbursement Form

Due Dates: March 1 | June 1 | September 1 | December 1

Organization Name

Submitted By *

First

Last

Phone

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Program Title

Reimbursement Amount

Please give a brief, but thorough description of the program and how it benefitted the community. Please be sure to address the following.

How many people attended?

How did the attendees benefit from the program?

Will the program be repeated?

Please give a brief description of how this program benefits the Black Apostolate in the Archdiocese of Philadelphia. Please be sure to indicate if the program is open other parishes, if applicable.

Please attach documentation of expenses

Click or drag files to this area to upload. You can upload up to 3 files.

Consent *

I agree to all submitted items being true to the best of my knowledge.