AMFA ET Grant application - Long 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

Please provide a 2-3 sentence summary of your funding request *

Population served

Geographic area served

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

General operating support Project/program support Start-up costs Technical assistance Capital Other

Applicant's total annual budget (in dollars)?

Project funding requested from AMFA-ET (in dollars)?

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

What is the total project cost in dollars?

What is the name and title of your top paid staff or board chair?

Section 2 - Proposal narrative

ORGANIZATION INFORMATION

Please provide a brief summary of your organization and how it connects to the mission of AMFA ET and the ET grant parameters.

PURPOSE OF GRANT

1. Situation: What is your need and how was it determined? 2. Activities: (a) Overall goal(s) regarding the situation described above (b) Objectives or ways in which you will meet the goal(s) (c) Specific activities for which you are seeking funding (d) Person(s) responsible for carrying out those activities (e) Time frame in which this will take place (f) Long term funding strategies (if applicable) for sustaining this effort (g) Additional funders. List names/amounts of other funding sources for this project

EVALUATION

1. Please describe the criteria to be used to measure the success of your proposal 2. Final status report, including project photos for AMFA use and publication, required within 90 days of the completion of project/event. Status reports may be emailed to info@MidwestManufacturers.com 3. UPLOAD your proposal narrative below.

Upload File *

Section 3 - Proposal Checklist

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.