Sisters of Charity of Leavenworth Health System - Mother Xavier Ross Application

Mother Xavier Ross Application

To have your project considered, completely fill-in all information and essay portions requested below. When finished, click Submit to send your application to Sister Judith Jackson at the Sisters of Charity of Leavenworth System Office. Once you have submitted your request, you will be able to print a copy to keep for your records.

*Indicates required field

Application
*Official Name of Group:
Submitting Proposal:
	Contact Person
*First Name:
*Last Name:
*Title:
*Address:
*City:
*State:
*Zip:
*Phone:	(include area code)
*Project Name:
Essay Portion

*In the box below, enter a description of how the project meets the criteria listed in the downloadable brochure and on the website:

*In the box below, enter a description of the service in action:

*In the box below, enter a description of how the project was developed, current funding sources, if any, and how the project will be funded beyond the grant period (include your budget information):

Click Submit to send this form and go to the print page. This may take a couple of minutes. Please be patient.