FY21 Growing Leaders Grant Application

Welcome!
Thank you for your interest in Growing Leaders and the grant we offer! This grant provides Habitudes training and resources. We seek to equip students from disadvantaged environments with the skills they need to lead in real life. Please contact katie@growingleaders.com if you have any questions about your application.

Grant Conditions and Organization Requirements
Below are the conditions of the grant. By clicking each box you are acknowledging the requirements. *

I represent an organization working with students in an economically disadvantaged environment. I understand that this grant will provide the Habitudes program, not compensation to be used for salaries, marketing, administrative costs, or loans. I will complete, sign, and return contract upon application approval. I will complete semi annual reports to be sent back to Growing Leaders that include pictures, video, and testimonies of the Habitudes program twice per academic year. I will also administer pre and post surveys to students and facilitators in the Habitudes program I understand that grants are for one fiscal year. (You may reapply if you wish to stay on for the next grant cycle.) I understand that Growing Leaders reserves the right to withhold and/or cease access to resources if the above requirements are not met.

Organization Information
Organization Name *
Type of Organization *
Pick the one that best fits!
Organization Address *

Street Address

Street Address Line 2

City State

Postal / Zip Code Country
Organization Website
Legal Structure of Organization *

We have our own EIN# (an EIN# is your Employer Identification Number- EIN). Itis also known as a Tax Identification Number (TIN) or Federal Tax IdentificationNumber (FIN). Please note that this is not the same as your Tax exempt Numberand 501(c)3 status. (If selected as a grant recipient we will need to see a copy ofyour IRS determination letter.) We are applying under our non-profit status. (If selected as a grant recipient we will need to see documentation confirming your non-profit status) International Organization/Non-Applicable Other
EIN (Employer Identification #)

Contact Information

Who should we reach out to with acceptance notification, updates, and questions?
Primary Contact Information
Name *

First Name Last Name
Title
Email *
example@example.com
Phone Number *

Area Code Phone Number
Secondary Contact Information
Name *

First Name Last Name
Title
Email *
example@example.com
Phone Number *

Area Code Phone Number

Student Body Information

Give us a little info about the students that you work with!
Student Body Size (Total Number of Students Involved with Organization) *
Age Range *
Percent Free and Reduced Lunch (if applicable)
Graduation Rate (if applicable)
Truancy (if applicable)
% of Students Involved in other Leadership Initiatives

Statement of Need

What is your "why"? How do you see Habitudes making a difference in the future of your students?
Please share specifically how Habitudes would benefit the students in your school/community. *

Habitudes Program Plan

Give us an idea of how you plan to use the curriculum! We can help coach you through some more ideas upon acceptance, but what are your initial thoughts?
How do you plan to implement Habitudes Curriculum? Write a project description. *
How often will Habitudes be taught? *
How many students do you expect to introduce to Habitudes? *
How many facilitators do you expect? *

Thank you!
Thanks so much for your application! We look forward to working with you in the future!
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