School Funding Assistance Request Form

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Fill out this form to request financial assistance for a Kiva Center workshop program

Email *

General Information

First and Last Name *

Name of School *

Your Position at the School *

Workshop(s) or series you are requesting funds for: *

Academic and School Culture

Is your school in need of environmental education support? Why? *

How can The Kiva Center support your environmental education goals? *

How will your school build upon what students learn through the Kiva program after the visit is completed?

Has your school worked with The Kiva Center in the past? *

Yes

If so, how many years? *

Does your school work with other environmental education organizations? *

Yes

If so, which organizations?

What grade levels currently receive outside support in environmental education? *

Eligibility

Please indicate all of the funding assistance criteria that your school meets: *

My school does not have the funds to pay for a workshop or series with The Kiva Center.

Students at my school have limited recess time (less than 30 minutes per day).

My school is located in a food desert (area with minimal access to affordable and nutritious food)

More than 50% of students at my school receive free and reduced lunch.

My school is a title 1 school.

My school does not have access to municipal composting or recycling services.

My colleagues and I are eager to make changes in our school culture to promote ecological stewardship to students.

Other:

Required

Funding Assistance

For what program is your school requesting funding assistance with The Kiva Center? *

One 60 minute workshop; $175

Materials delivery for virtual workshops

A workshop series

Unsure

Other:

What is the $ amount that you are requesting for financial assistance? *

Please write a brief statement about how this program and funding assistance will make a profound impact at your school. *

Please explain any additional factors that Kiva should know about to help make a decision about your request.

Submit

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