Hermanowski Family Foundation Initial Request Form

---

Organization Name: Raising Hands Literacy Project
Legal Name (if Different):
Also Known As: Raising Hands Tutoring
Mailing Address: 24 North Third
City: Highland Park
State: New Jersey
Postal Code: 07840
Main Phone: 713-291-1261
Main Fax:
Organization Website: raisinghandsliteracyproject.org
Employer ID Number: 83-1627638
Organization Tax Status: 501(C)3 nonprofit

Proposal Information

---

Today’s Date: 03/
Requested Amount:

Project Title:
Project Description:

Total Project Budget:

Other Funding
Sources For The Project (Committed & Potential):

Project Duration:
Geographical Area Served:
Age Group To Be Served:

Contact Information

---

Contact Prefix (Mr,Mrs etc.):
Contact First Name:
Contact Last Name:
Contact Title:
Contact Phone:
Contact Email: