Student Stability Innovation Grants Request Form

Grantee Details
The grantee is the agency who is receiving and will hold the funds for your project.

If your project requires funds to be paid for a direct service or item instead of being disbursed to an agency, you may submit an invoice to AWHWA for payment (upon project approval). Please write “Invoice” in the agency box and complete the grantee fields with the invoice contact person’s information.
Grantee Agency: *
Grantee Agency Contact Person *

First Name Last Name
Grantee Agency Contact Person Email *
example@example.com
Grantee Agency Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
We will follow up to verify these details upon project approval.

Project Details
Name of Project *
Name of Project Manager/Lead *

First Name Last Name
Name of school contact and/or youth provider that you are partnering with: *

First Name Last Name
Start Date *

Month Day Year
Date
End Date *

Month Day Year
Date
Amount requested *
Must be under $5,000
The project must relate to one or more of the following: (check all that apply) *

Preventing students from experiencing unaccompanied homelessness (reducing inflow) Improving By Name List data quality and referrals between schools and the homelessness system Increasing safe and stable housing placements for unaccompanied students Addressing racial and/or LGBTQ+ disproportionality
Describe the Improvement idea - What change idea do you want to test? *

0/150
Anticipated outcome(s) - What change are you expecting to see as a result of this improvement project? *

(Make your goal SMART: Specific, Measurable, Achievable, Relevant and Time-based) 0/150

Race and LGBTQ+ Equity
Is this idea directly addressing disproportionality for youth of color or LGBTQ+ youth? *

Yes No
How is it directly addressing disproportionality?

0/150

Youth and Young Adult Engagement
Were young people engaged in the development of this improvement project idea? *

Yes No
Will young people be involved in the implementation of this improvement project? *

Yes No
How were young people engaged in the development of this improvement idea/project? How will they be involved in the implementation?

0/200

Measurement strategy
What baseline data are you using to measure success? *

Baseline data is at least 10 points of data that shows normal operations/activities 0/150
How will you know if you succeeded? *

We will know that we succeeded because the data will show…. 0/150
How will you track and document the improvement cycle? *

0/150

Is there anything else you want us to know about your project?

0/150
If you would like to provide any supporting documents, please upload them here.

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Grantee Details