openhands.avenue.org    501(c)(3)

Mission Statement:  It is Open Hands’ intention to support:

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

Standard Application Form

Name:

Address:

 

Telephone Numbers(s):

E-Mail Address:

Contact Person:

Description of Need or Project:

 

 

Time Frame for Completion:

Financial Need Estimate:

Date:

Board Notes:

 

Responses from board members:

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Email applications to openhands@openhands.avenue.org

Downloadable copies of the application can be found below:

Open Hands Application in Word format – downloadable for completion on your computer, may be sent as an attachment via e-mail

Open Hands Application in pdf format – may be printed, completed by hand and mailed to Open Hands at the address above.