Grant Request Application

* Denotes a required field

Section 1 - Basic Application Information

Application Date *

Project Name *

School Name *

Graduation Year *

Section 2 - Grant Information

Education Purpose and Goals *

Number of students who will benefit from this request *

Benefits to the individuals, school, and/or community *

Anticipated Completion Date(s) for the project *

Is this a New or Annual project? *

If this is an annual project, please give a brief history

Section 3 - Cost and Expenses

Please itemize the projected expenses and then provide the total cost for the project: *

Total Project Costs: *

Expected Source(s) of Other Income *

Expected Sources of Other Income (other foundations, clubs, individuals, etc.). Please indicate the source(s) and the anticipated amount(s) below:

In regards to your funding, have you looked at other sources of funding, such as PTA, Rotary, District, or philanthropic organizations? *

Amount Secured: *

Amount Pending: *

Total Amount Requested from Foundation WAPS: *

Please note: The Foundation may grant up to 35% of the total cost. If the total cost is under $500, the total amount may be granted.

Section 4 - Personal and Contact Information

Person(s) requesting the grant: *

Primary Contact Address: *

Primary contact phone number: *

Primary contact e-mail: *

Name of your supervisor: *

Title of your supervisor:

Have you discussed this with your supervisor? *

Confirm Submission

Enter an email to send a copy of your grant submission: *