Please complete this form three or more weeks prior to the due date of your grant.
Organization Requesting Support *
Individual requesting on behalf of organization (please complete all fields).
Grant Deadline/Due Date for Support Letter *
Where does the letter need to be sent (email, name, title)? *
Who should the letter be addressed to (name/title/address/email)? *
Grant Funding Name/Title *
Is the Funding Source State or Federal? *
Vendor Number or Grant ID Number. *
Grant Amount/Funding Request. *
Bio of organization requesting support (4 to 5 sentences). *
How has the organization impacted the community (4 to 5 sentences)? *
What will the funds be utilized for and how will this impact constituents (4 to 5 sentences)? *
Rep. Izzy's involvement or visitation to the organization, if any (4 to 5 sentences).
If applicable, please email template letters, program descriptions and a copy of the funding application to RepSmithWadeEl@pahouse.net.
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Please use the form below to email Rep. Ismail Smith-Wade-El.
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150 E. King StreetSuite BLancaster, PA 17602-2832
P*: (717) 283-4218P: (833) 787-1792
F*: (717) 283-4146
Hours of Operation - Open 9 a.m. – 4 p.m., closed 12 p.m. – 1 p.m., M – F
103 A East WingHarrisburg, PA 17120
P*: (717) 772-0752
F*: (717) 780-6025
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