AMFA ET Grant application - short form - Midwest Manufacturers' Association

Name and title of primary contact *

School/Organization name *

Employer Identification Number (EIN)

Address Block - US

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Phone number *

Email address *

Website

Is applicant a 501(C)3 nonprofit or a public agency/unit of government? (If no, contact funder regarding fiscal agent requirements at info@MidwestManufacturers.com) *

Yes No

Briefly explain the purpose of your request: (i.e. student tour of North Shore Mining, software for new CAD course, purchase materials for robotics club, entrance fee for FIRST competition) *

AMFA ET was formed to address education and workforce issues in the region, particularly in the fields of manufacturing and fabrication. The primary objective is to help bridge the gap between industry and education. Briefly describe how your proposal will increase the skill level or address the training needs of people interested in these fields or encourage more students/residents to consider manufacturing as a career.

Funds are requested for (items listed in italics are intended only as examples of possible costs) *

Equipment (durable items such as tools, calipers, welders, etc.) Supplies/materials (demonstration materials, classroom or project supplies) Curriculum materials (software, videos, manuals, DVDs) Student field trips/competitions (registration fees, mileage and transportation costs) Special projects/other (explain) Other

Area you partnering with other high schools, groups or colleges? *

Yes No

If you answered yes to the question above, please list who you are partnering with. *

What is the dollar amount you are requesting from AMFA ET? *

Project funds you have received or committed from other sources (in dollars). *

What is the total project cost in dollars? *

Have you downloaded the grant parameters document (PDF)? If not... please do so now. It can be found on the same website page as this form: https://www.midwestmanufacturers.com/amfa/k-12-grants/ *

Yes No

By accepting grant funds from AMFA-ET, you agree to provide photos and marketing materials that we will use in our social media and other promotions. All minors under the agree of 18 must have a signed publicity consent. *

Yes No

Please upload your school logo, club logo, photos/videos, or other marketing materials to be used in our promotions.