Apply Now - CMAC Advancement Form — CMAC Advancement Foundation

CM Advancement Foundation – Funding Application

Student Name

First Name

Last Name

Parent Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Phone Number

(###)

###

####

Email Address

School

Grade Level (if applying in summer, grade entering)

Grants Request

Grants will be awarded for amounts between $100.00 and $2,500.00. Requests may be selected for complete or partial funding. If awarded, grants will be paid to the providing organization. Please provide their information below.

Requested Dollar Amount

Activity Description

Organization Name

Organization Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Organization Contact Name

Organization Contact Email

Organization Contact Phone

(###)

###

####

Organization Website

http://

Question 1

Please tell us how the activity for which you’re requesting funding has made you a better person or enriched your life. Please feel free to attach additional documents to your application if you prefer – you can write an essay, submit a digital portfolio, create a video submission or other media. Get creative!

Question 2

Please write a short essay telling us about any idea you have for how you’d like to make your community a better place, either now or as an adult.

References

Please provide (3) non-related adult references. Teachers and Coaches of the activity you would like us to find are eligible to be references.

Reference 1 Name

Reference 1 Relationship

Reference 1 Contact Phone Number

(###)

###

####

Reference 1 Email Address

Reference 2 Name

Reference 2 Relationship

Reference 2 Contact Phone Number

(###)

###

####

Reference 2 Email Address

Reference 3 Name

Reference 3 Relationship

Reference 3 Contact Phone Number

(###)

###

####

Reference 3 Email Address

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted for funding, any false statements, omissions, or other misrepresentations made by me on this application may result in revocation of the grant.

Student Name

First Name

Last Name

Student Signature

Type your full name which will represent your signature

Parent Name

First Name

Last Name

Parent Signature

Type your full name which will represent your signature

Date

YYYY

Next Steps

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, or disability. Applications are reviewed quarterly in January, April, July and October. Submissions for each quarter close on the last day of March, June, September and December. Applications will be reviewed after the close of the quarter in which they are submitted. Thank you for completing this application form and for your interest in CM Advancement Foundation.