Object Red, Inc.

Date * MM / DD / YYYY
Applicant Name * Title First Last Suffix
Applicant Email *
Name of School *
Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone * ### - ### - ####
School Phone * ### - ### - ####
Subject Area Impacted *
Grade Level Affected
Project Name *
Select Your Grant Type
Requested Dollar Amount * $ Dollars . Cents
Short Summary of Project Proposal *
What curriculum standards does your grant address (list all)? *
How is this project innovative? *
Who will be affected by this project both directly and indirectly? (Consider long and short-term impact on individuals, school, and community. Will community resource people be involved in this project?) *
Will your project continue to impact/operate in the school after these funds are expended? Please explain. *
Outline your project. Include objectives, materials and methods you will use and a time schedule. *
Budget. Please itemize the cost estimate for your project including all materials, taxes, shipping and handling, and final amount. Back-up documentation for each item may include cost estimates, catalog pages, etc. *
How will you determine if your objectives have been achieved and whether your project is successful? *
Principal's Certification

I certify that this project may be implemented as described and that funds for this project are not available through the regular school budget or any state or federal grant.

By typing your name below, you are submitting an electronic signature. *
Applicant's Certification

I certify that I will implement this project as described and that I will submit a project summary to the foundation within two weeks of completion of this project. The summary must include a list of expenses/receipts, statement summary of project, methodology used, evaluation of the project, and number of students impacted by the project. I will return unused funds to the foundation.

By typing your name below, you are submitting an electronic signature. *
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