2019-2020 IMWCA Safety Grant Application
Use this form to apply for a 2019-2020 Safety Grant. Application opens July 1, 2019 and Closes May 29, 2020.

Instructions for uploading your project photo will appear after you submit this form.
Questions? Contact Dean Schade at deanschade@iowaleague.org or call 515-657-2899.

IMWCA Member making Application *
Your answer
Date *
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Contact Information *
Your answer
Summary of project in a few sentences. How does this project improve safety in the workplace? *
Your answer
What is the expected timeline on the project from beginning to conclusion of results? *
Your answer
Total costs of the project. Is this a reimbursement, costs share or total expense to be paid by the grant? How much are you seeking and how will the money be spent? *
Your answer
Member agrees to submit a resolution from the governing body that supports the project before funds can be committed to a project. *
Do you consent to share information on the design and specifications with other interested members of IMWCA at no costs and consent to being featured in IMWCA materials that highlights how the winning project enhances workplace safety for local governments? *
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