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Sample Application #1
Name of Project: Peer Mediation Group
Youth Applicants: Name*: Jimmy Monk Cell Phone*: 415-555-1212 E-mail Address*: jimmymonk@gmail.com Name*: Melody Fargo Cell Phone*: 415-555-9573 E-mail Address*: minimel@gmail.com Name: William Smith Cell Phone: 510-555-3930 E-mail Address: bigwillie@schoolmail.com Name: Lori Wong Cell Phone: 650-555-2415 E-mail Address: lwong@yahoo.com
Description of Project*: What do you propose doing to advocate for a better education or to improve the education provided at your school?
Number of people expected to participate your project*: 100
CONTACT INFORMATION
Youth Project Leader Please list one youth applicant to serve as the project leader. This person will be responsible for interacting with the Right To Learn staff on a regular basis by phone and/or e-mail and will be the one to whom the grant is sent.
Name*: Jimmy Monk Age*: 15 Address*: 567 Field Road City*: Castro Valley State*: CA ZIP*: 98935 E-mail Address*: JimmyMonk@gmail.com Cell Phone*: 415-555-1212
Adult Ally Please list a non-controlling adult ally to serve as a resource for you during your project. We will contact this person before making an award decision, so please make sure to check with them first! Name*: Ms. Jennifer Moss City*: Castro Valley State*: CA ZIP*: 98615 E-mail*: JenniferMoss@gmail.com Cell Phone*: 856-645-9558
Why did you choose this person to be your adult ally?* She runs the other Peer Programs at our school. She is a very resourceful person. She has a lot of experience starting projects and working with the administration at our school. She will be a great help in supporting our project. She also will help in providing us a space to meet in, in her room at lunch when the mediations will happen.
MORE ABOUT YOUR PROJECT
Please answer these questions about your project. We don't want (or need) essays; just give us a paragraph or two that highlights the key points.
What is the expected outcome of your project? What do you expect to accomplish?*
Who are you trying to influence with your project? Why do you believe that your actions will affect his/her/their opinion? (if applicable)
Why is it important for this project to happen?*
What are the necessary steps to complete your project? When will they take place? Give us an idea of your timeline.*
Think about who is involved in your project and list their specific responsibilities.*
How will your project have a long-term and positive impact on education in California?*
PROJECT BUDGET You must submit a proposed project budget with your application. Sample budget forms are available on the Right To Learn Web site at www.RightToLearnCA.org/grants in Microsoft Excel format.
Be sure to list as many things as possible (transportation, printing/signs/flyers, food, equipment, etc.) and a specific price for each. You can look in local stores or use Google to search for companies that sell the items you need to get an idea of prices. Also, think about whether you can get items donated or at a discount from local merchants. If you need more help with this part, ask your adult ally or get in touch with us at 415-375-3096.
Download sample budget (XLS Format)
GRANT REQUEST
From your budget, please list the total amount your team is requesting: $750 (Max: $5,000)
Reminder: You must submit your application online at www.RightToLearnCA.org/grants by August 31, 2008. |
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Right to Learn is brought to you by YouthNoise and is sponsored by The William and Flora Hewlett Foundation. |
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