Please complete all of the following fields and press "Submit"
Today's Date MM /DD/ YYYY
Date Needed MM /DD/ YYYY
Are you applying for a Traditional Grant or supplying information for a Block Grant? Traditional Block
Amount requested: $ USD
Contact Name:
First Last
Phone
Email
Department/Club that this grant would benefit:
Did this department/club receive a Block Grant this year? Yes No
Grant request supporting statement: Please be as specific as possible. Support Block Grant request by detailing how money will be spent, and identifying upcoming needs. In the case of a request for reimbursement of past expenses, please submit receipts separately.
Number of students assisted directly:
Number of students assisted indirectly:
Other sources of funding and amount(s) used or solicited (include department budget and individual teacher allotments):
Is this request consistent with school and/or district policies with respect to the types of items or activities at EWHS? Yes No If 'no', please explain below:
Are other funds available to cover this grant request or complement PSO support? Yes No If 'yes', please explain below:
How does the Administration rank this request relative to other needs in the same category (Academic support, Student Club, Athletic, etc.)? High Medium Low Please explain below:
