Grant Request Application

Asterisks * denotes a required field

Section 1

Section 2

Section 3

Section 4

Section 1: Basic Application Information

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?*

New

Annual

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 $500 or under, the total amount may be granted.

Section 4: Personal and Contact Information

Person(s) requesting the grant:*

Primary Contact Address: *

Primary contact e-mail:*

Primary contact phone number:*

Name of your supervisor:*

Title of your supervisor:

Have you discussed this with your supervisor? *

Yes

Confirm Submission

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

This field should be left blank