First Name

District/Unit

Last Name

Date(s) of Event/Program

Rank

Total Request Amount

Location of Event/Program

Description of Program (Min. 1 Paragraph)

How Many Police Officers Will Be Involved?

Are There Any Other Partners/Agencies Involved?

How Many Participants?

Target Location of Participants

Has This Program Received Previous Funding From PAL?

Yes

No

Target Age Range

Frequency (Weekly, one-time event, etc.)

If "Yes", At What Amount?

Benefits to the Community (Outcomes - be specific)

Benefits to the Boston Police Dept. (Outcomes - be specific)

Budget (Amount Requested & Line Items)

If Approved, Who Should The Check Be Payable to? (Include address)

Please Upload Any Spreadsheets/Invoices, Flyers, Pictures, Stories About Your Program/Event

BPD Programs: Request For Funding