PEF Grant Application Form  

Date of Request: ___________________    Date Funds Needed: _____________________

Sponsor Name: ____________________________________________________________________________

Co-Sponsors (if any): ________________________________________________________________________

Affiliation/Address: __________________________________________________________________________

Email (please write clearly, grant notification will be sent to this address):  _____________________________________________

Daytime Phone: _____________________________         Evening Phone: _______________________________

Project Title:______________________________________________________________________________

A description of the project (include attachments as needed). How does the project benefit                                     the Parker community?:

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Total amount requested: ____________________________                                                                                (Please attach an itemized budget for projects over $500 including 3 different estimates if applicable.)                                        Estimate number or percent of Parker community members to benefit from this grant:

__________________________________________________________________________________________   If items or equipment are requested, describe possible additional or long term use:

__________________________________________________________________________________________

__________________________________________________________________________________________

Adjustments that can be made if project is not fully funded: _________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

If  funded, I (we) agree to carry out the goals of this project in accordance with the description and budget contained in this application or in accordance with any adjustment which is subsequently approved by the PEF. In the event that we do not carry out this project for whatever reason, we agree to account for and return all unused funds to the PEF forthwith.  If this grant is awarded it is expected that the recipients will provide a written report or other tangible demonstration of how the grant money was used and the benefits to the Parker School.

Sponsors Signatures/Date:____________________________________________________________________

Principal’s Signature/Date:____________________________________________________________________

PEF Board Approval:

Date:  _________________             Type (meeting, email, other): _____________________________________

Officer’s Signature:_______________________________     Amount Approved: _______________________

Please place in PEF box in Parker office.  Thank you.