Grant Request Application Asterisks * denotes a required field Section 1Section 2Section 3Section 4Section 1: Basic Application InformationDate*Project Name*School Name*Graduation Year*NextSection 2: Grant InformationEducation 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?*NewAnnualIf this is an annual project, please give a brief history:BackNextSection 3: Cost and ExpensesPlease itemize the projected expenses and then provide the total cost for the project:*Total Project Costs:*Expected Source(s) of Other IncomeExpected 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.BackNextSection 4: Personal and Contact InformationPerson(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? *YesNoConfirm SubmissionEnter an email to send a copy of your grant submission:*Are you human?*BackSubmitThis field should be left blank
