JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Uplift Grant Application
* Indicates required question
Email
*
Record my email address with my response
Name
*
First and last name
Your answer
Email
*
Your answer
Phone number
*
Your answer
Is your program focused on cooking, nutrition, and/or life skills?
*
Yes
No
What is the name of your program or project and your role?
*
Your answer
What is the organization website & social media pages? (Provide links or @.)
*
Your answer
Describe the project
and how it is innovative or unique for your program, classroom, school, or district etc.
*
Your answer
Identify the problem or need
the project addresses, using data or research to support the urgency.
*
Your answer
What are your project goals and objectives?
(Ensure objectives are specific, measurable, actionable, relevant, and timely - SMART goals).
SMART =
S
pecific goal,
M
easurable,
A
ttainable,
R
elevant,
T
imely.
*
Your answer
Describe the key activities
and steps you will follow to implement the project.
*
Your answer
Outline a clear timeline
for project implementation.
*
Your answer
Who will be involved
(e.g., specific providers, teachers, and number of residents, clients or students) and what are their roles?
*
Your answer
What is the potential impact
of the project on the recipients and the community?
*
Your answer
How will you measure and document
your development and success?
*
Your answer
Define your expected outcomes
and how you will track them (e.g., through observations, group work, surveys).
*
Your answer
How much funding
are you requesting? ( The maximum request is $1,000, requested amount is not guaranteed.)
*
Your answer
Provide a detailed, itemized budget
that explains how the expenses are related to the program objectives.
*
Your answer
Are the requested items
for obtaining materials, or is the central purpose related to specific learning objectives?
*
Your answer
Please describe the sustainability of the project and outline the strategies for its continuation post-grant funding.
*
Your answer
Do you have other funding sources
or "in-kind" contributions (e.g., volunteer time) that will support this project?
*
Your answer
A copy of your responses will be emailed to .
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report