IFA FoundationGrant, Scholarship or Sponsorship Application Date Submitted * MM DD YYYY Name of Organization * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Person/Applicant * First Name Last Name Applicant's Email * Applicant's Phone Number * (###) ### #### Applicant's Signature (typed) * Title * Award Request * Grant (Fire Department) Scholarship (Individual Firefighter) Sponsorship (Regional Association) Amount Requested * Descritpion of Class(es), Program, or Equipment * Total Cost of Class(es), Programs, or Equipment * Dates of Training * Justification for Request * Who will benefit and what are the benefits? * Thank you!