Date left School
Please leave this field empty.
By submitting this form I agree that I will submit a grant report within 3 months of completing the project. If for any reason the project is postponed/cancelled within a year of grant funding, I will return the funds to the DHSA. I understand that this application will be considered at the meeting following the appropriate January/April/September deadline, according to the timing of the submission. The DHSA has the right to use all application/report information for marketing purposes.