Local/Global Service Grant Application
To be considered for a service grant of up to $500 please complete the form below. There is a rolling deadline and a limited amount of grants. If you are a student applying for the grant, you will need a teacher sponsor to receive the check.
Email address *
First and Last Name *
Your answer
Phone Number *
Your answer
Do you prefer to be contacted by phone or email? *
If preferred contact is by phone, when is a good time to call?
Your answer
What is your school name and address? *
Your answer
Which of the following applies to you: *
If you are a teacher, what grade do you teach? *
Are you committed to submitting an impact report at the end of the project that includes: the exact budget, student quotes about their experience, number of individuals that participated/were impacted by your service (ie community members, teachers, students etc), whether the learning target was met, and photos of the process? *
Does your school receive Title 1 Funding? *
How much money are you asking for? (Up to $500) *
Your answer
Grant money can be used for costs associated with project supplies, event costs, promotional materials, and other expenses related to the planning and implementation of your service activity. Your budget should include a complete breakdown of what the money will specifically be used for including descriptions for both the local and global portion of the service project. Please share a detailed explanation for how you will budget the requested dollar amount to implement a local and global H2O for Life service project at your school. *
Your answer
What is your pledged amount for your Global H2O for Life project? ie how much money do you hope to raise and send to your Global partner school?
Your answer
In the space below please provide a detailed timeline of your service project.
Your answer
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This form was created inside of H2O for Life.