Top Left Corner Top Right Corner
Yuma Regional Medical Center
Pad Lock
Before TopNav
Left Side

Left Nav Bottom

Decrease (-) Restore Default Increase (+) font size

McDaniel's Grant Application

Foundation of Yuma Regional Medical Center
Richard Michael McDaniel Endowment Fund Grant Application

* Indicates required information
Full Legal Organization Name: * 
Street Address: * 
City: * 
State: * 
Zip: * 
Organization Website: * 
Organization President / Executive Director: * 
Title: * 
Phone Number: * 
E-Mail Address: * 
Contact Person (If different): 
Phone Number: 
Email Address: 
Is your agency tax exempt under section 501(c)(3)?: * 
Year Established: 
If not, do you have a fiscal agent?: *  </