West Central Ohio Safety Council
2020 Community Safety Grant Application

Nominations

One of the missions the West Central Ohio Safety Council is to improve the safety in our community. We know there are unmet safety needs of the organizations, companies, and businesses in the Lima/Allen County area, especially non-profits and public safety entities. Our wish is to find safety needs that have a monetary requirement and offer assistance in meeting that need.

If you or someone you know is involved in a program that has a safety need that could be met with a monetary donation, please fill out this form.

MAXIMUM YEARLY AWARDS: 2 @ $1000

DEADLINE HAS BEEN EXTENDED TO APRIL 17TH!!!

Award will be granted at the West Central Ohio Safety Council Annual Awards Banquet - May 12th *unless rescheduled due to COVID-19

Any questions, contact Deb Katzenmeyer at dkatz@limachamber.com or call 419-222-6708.

Question Title

* 1. Enter nominated Organization's Information - Please be as complete as possible.

Contact Person

Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Enter YOUR Information - Please be as complete as possible.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 3. Organization type

Question Title

* 4. With as much detail as possible, list the safety improvements that will be made should grant money be awarded, the amount of money needed. Include estimated costs for improvements/purchases and also how this would improve and impact the safety of your organization.

The maximum awarded yearly is two grants at $1000 each (total of $2000).

*if filling out a paper form - attach an additional sheet with all the information you can provide about the safety need.