Grant Application

Date of Application *

MM

DD

YYYY

When is funding needed by? *

MM

DD

YYYY

Name of Requestor *

First Name

Last Name

Requestor phone *

(###)

###

####

Preferred Method of Communication *

Email

Phone

I agree to email copies of my fundraising plan and budget (committee or department), most recent bank statement, and ASB account balance (if applicable) to grants@stadiumboosters.org. I understand that without this information, my application will not be considered by the Grant Committee. *

Yes

No

Is the requester a member of SHS Boosters? *

Yes

No

Terms of Grant: I agree to follow the terms of a grant approval as outlined in the policies/procedures. *

Yes

No

If funding is granted, I agree to provide a final report to SHS Boosters at the end of my project or initiative. The outcomes and impact documented in the final report will serve as prerequisites for any future or additional funding from Stadium High School Boosters. *

Yes

No