Please complete all sections of the grant application and attach all relevant supporting documentation.  Incomplete or old grant applications will not be accepted.  Instead, these will be returned to the applicant, which may delay (and thereby force denial of) a grant request.

Completed applications and any attachments (plus one copy) should be sent to the Clarkston Foundation Grant Committee,

PO Box 711, Clarkston, MI 48347.  Questions may be directed to Becky Kelly or Shawn Ryan at 248-623-5413.

Applicant Name:      

Project Director:  (if other than applicant) 

School:       

Organization Name:      

Project Title:      

School Address:       

Is this request for a   Bright Ideas Grant,

 Rising Stars Grant, or  Science or Arts Grant

Project.

City:               Zip:       

Project Location:       

School Phone Number:       

From:      /       /          

To:       /       /      

Applicant’s Evening Phone #:      

Applicant’s e-mail address:       

Detailed description of project:       

Project Objectives:       

How many individuals will benefit from this project?  (Write in the number in each category, below)

Students:          Grade:         Staff:          Volunteers:         Others, describe:      

Describe how this project will meet its objectives and the plan for project evaluation: 

Briefly describe the promotion plan for this project:

PROJECT BUDGET:  Your budget MUST balance.  Total project expenses must equal project revenues!

EXPENSES

REVENUE

Personnel

  School Support

Equipment

  Organization (PTO/PTA) Support

Materials / Supplies

  Corporate Support

Rentals (equipment, materials, etc.)

  Other (specify)

Publicity

FOUNDATION REQUEST

Other (specify)

TOTAL

$     

TOTAL

$     

Have you / your school or organization received funding for this project in a previous year?   Yes     No

If yes, what amount?       

Are you a member of the Clarkston Foundation?   Yes       No

If awarded, how should this check be made payable?       

If the grant is awarded, the applicant gives assurance to the Clarkston Foundation that the support funds will be administered by the applicant or organization and used as requested.  Any funds received under this grant shall not be used to replace funds normally budgeted for this activity and must be used solely for the stated purpose.

If the grant is awarded, the applicant agrees to recognize the Clarkston Foundation on promotional and other materials related to the program/event.  Award checks are issued in December for first semester programs.  Awards for the second semester are distributed in March unless applicant attaches a statement explaining an earlier need and initials here:  _____

The applicant has read, understands, and agrees to the guidelines stated above.

Applicant’s Signature:  _______________________________________  Date:  __________________________

The filing of the application by the undersigned official indicates support for this application.

Building Principal:  __________________________________________ Date:  __________________________

Send original and one copy of application.  Do NOT send instruction page.

Clarkston Foundation

PO Box 711

Clarkston, MI 48347