Locati Edge Application

Locati Edge Application Form
Your name*

First NameLast Name
Your email*
example@example.com
Your home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your age*
Your grade level
Who referred you to Locati Edge?
Information and Support Documents
Provide a brief description of your request*
Is this a new activity?*

YesNo
Have you done this before? If so, when?*
How long have you wanted to pursue this activity?*
Will you be able to do this activity without funding?*
Has other fundraising been started for this activity? If so, how much has been raised to date?*
Dollar amount requested*
To whom funds will be paid. Provide recipient organization name, contact person, address, tax ID, etc.*
Documentation needed to verify payment. Payment will be issued to noted recipient organization, not applicant.
Upload required supplemental materials, be creative, include items that support your application.

Cancelof
For application questions, please text or leave a message at 406-223-5593.
Parent, Guardian to Legal Applicant Information
Name of parent, guardian or legal applicant*

First NameLast Name
Phone of parent, guardian or legal applicant*
Please enter a valid phone number.
Website and Social Media Release:

By signing below, I, the undersigned, do hereby grant permission to Locati Edge for website purposes only to use my or my child’s application materials along with photos and or videos. It is understood that Locati Edge will not use any personal information on their website.

I acknowledge that Locati Edge will rely on this consent and release in producing, broadcasting, and distributing the Materials, and agree that neither I nor my child nor applicant will receive any money or other remuneration of any kind from Locati Edge related to this consent and release, or the Materials covered by this consent and release.

Locati Edge Authorization:

By signing below, I attest that I am the parent or legal guardian of the child named above or I am an applicant over the age of 18 and have provided my permission to apply for the Locati Edge grant. I acknowledge that I and/or my child are responsible for all activities associated with the project associated with the grant request. As such, I/we release Locati Edge and its Board Members, officers, or employees from any responsibility or liability in case of illness, injury, or misfortune as a result of any activity associated with the above grant request.
Signature of parent, legal guardian or applicant over the age of 18

Clear
Please verify that you are human*
Locati Edge [EIN: 84-4061522] is organized as a Montana charitable public benefit corporation and has applied to the I.R.S. for recognition of its status as an organization described in Internal Revenue Code Section 501(c)(3), which will also entitle donors to a charitable income tax deduction under Internal Revenue Code Section 170(c)(2) for contributions made to Locati Edge from its inception.
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Locati Edge Application Form

Information and Support Documents

Parent, Guardian to Legal Applicant Information