Name *

Job Title *

Email *

Phone Number *

School/Organization *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Amount of project funds requested from CMMA ($1,000 max per year) *

Amount of project funds committed/received from other sources *

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

Equipment (durable items such as tools, calipers, welders)

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 project/other (explain below)

Special project/other explanation

Summary of project/request *

Does this project involve partnership with other schools, groups, or colleges? If yes, list partners

Please indicate the date the requested funds are needed by *

Tracking *

For the purpose of tracking participation and dollars; how many students and/or adults are involved in the project?

• Male Students
• Femal Students
• Adults

Marketing Approval *

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

Yes

No

School/Club Logo

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

20MB max

Navigator Registration *

Have you registered your school on the Navigator?  You must register your school to the Navigator to be eiligible for the grant funding.  If you have not - please go CMMAWorks.org and register your schoo..  The Navigator is an onlikne directory to connect educators and businesses.

Yes

No

Any additional matierals, flyers or sponsorship packets - please upload

20MB max