First Name:*
Last Name:*
Middle Initial:*
School Title:*
Direct Phone No.:*
Project Title:*
School Name:*
School Phone No.:*
School Email:*
School Address:*
City:*
State:*
Zip:*
Amount of Funds you would like to request:*
Date the Funds will be Needed (Year and semester):*
Other Grants: If you have applied for any other grants please tell us in the box below. Include the amount(s) you requested and current status of your request(s).
Project Description: Detail goals and objectives for the specified program including target audience (not to exceed 500 words).
Project Timeline: Please indicate your project activites and the planned date of completion of each activity in the box below.
Project Evaluation: Indicate how your organization will evaluate the program/project if funded.
Project Budget: Please detail the break-down of expenses.
Applicant’s Information Release Statement: I authorize the release of the following information for review by all members of the Board of Directors for Impossible Possibilities: Completed Grant Application, Project Description, Project Timeline, Project Evaluation and Project Budget. I hereby certify that the information submitted is true and correct to the best of my knowledge. I understand that all submitted proposals will become the property of Impossible Possibilities. I understand that Impossible Possibilities reserves the right to feature any selected program in a story on the organization’s website. I understand that by checking the box below and initialing I have read and agree to the Grant Initiative Rules and Regulations. Initials:*