2009-2010 Youth Education and Improvement Projects Grant Application Form

Funded by the City of San José's Go Green Schools, Youth Watershed Education, and Solar Schools Programs

STEP 1: Please provide your contact information.

First Name:
Last Name:
Email:
Phone:
Fax:
Address:
City:
State:
Zip:

STEP 2: Please provide summary information.

Please name the organization or school applying for the grant here. If more than one entity (school) is applying, please list them all.

Organization or School:
501(c)(3) Status:
Grant Project Title:
Grant Project Category:
Grant Project Type:
One Sentence Project Summary:	255 characters remaining

STEP 3: Please provide detailed answers to the following questions.

Please limit each of your responses to 1,024 characters or less, for accurate submission. The most user-friendly format is standard paragraph formatting. Avoid bullets and numbered lists.

What is the project you would like funded?
Project Description:	1024 characters remaining
Describe the overall goal of the project, and how the project addresses the Grant Goals listed in the description of the City of San José Youth Education & Improvement Project Grants program.
Project Goals:	1024 characters remaining
What changes do you expect to occur as a result of this project? What impact will it have on youth? What benefits do you anticipate? What curricular areas (e.g., English/language arts, science, math, etc.) does this project address?
Project Objectives:	1024 characters remaining
Describe the key activities involved in the project. Include information on where will the project will be conducted (e.g., school site, creek, field trip, solar project development etc.). Identify the project staff and describe the role they will perform in this project.
Grant Project Activities:	1024 characters remaining
Describe specific measurable outcomes that will determine whether your project met its goals. What are your plans for measuring the overall success of this project as it pertains to youth education or other environmental objectives achieved over the course of the project?
Grant Project Assessment:	1024 characters remaining
List the number of students and grade level(s) that will benefit from this grant.
Estimated # Students Involved:
Student Grade Level(s):

STEP 4: Please complete the detailed tasks section.

Complete a month-by-month timeline for the implementation and completion of all project tasks and key milestones. If your project will not take nine months to complete, please enter the word “None” in the Tasks and Milestones fields. Every field must be completed in order to be considered for the grant review process.

December Tasks:	December Milestones:
January Tasks:	January Milestones:
February Tasks:	February Milestones:
March Tasks:	March Milestones:
April Tasks:	April Milestones:
May Tasks:	May Milestones:
June Tasks:	June Milestones:
July Tasks:	July Milestones:
August Tasks:	August Milestones:

STEP 5: Please complete the budget section.

Provide budget detail and costs for all project expenses. Use as many fields as required for your project. Group items into similar categories (e.g. Garden Supplies: shovels, rakes, and hoses). Enter dollar amounts in dollars and cents (e.g. 25.79 or 25.00). If your project does not require the use of every field, enter "None" and "0.00" in the applicable field(s). Every field must be completed in order to be considered for the grant review process.

Item(s) 1:	$ Amt. 1:
Item(s) 2:	$ Amt. 2:
Item(s) 3:	$ Amt. 3:
Item(s) 4:	$ Amt. 4:
Item(s) 5:	$ Amt. 5:
Item(s) 6:	$ Amt. 6:
Item(s) 7:	$ Amt. 7:
Item(s) 8:	$ Amt. 8:
Item(s) 9:	$ Amt. 9:
Item(s) 10:	$ Amt. 10:
Enter the total amount being requested for this project. This amount must be the sum of all project expenses detailed in $ Amt 1-10 above. If the total amount requested below does not equal the total project expenses itemized above, the application will not be considered for the grant review process. The total entered here should be in dollars and cents (e.g. 1000.26).
TOTAL AMOUNT REQUESTED:

	Last Modified Date: 5/12/2011

	City Home - City Services - About San José - Visitors - Feedback - Search
	As a customer-driven organization, the City of San José welcomes any suggestions you might have to help us serve you better.