KCBAS Request Form (for KSSB Staff only)

KCBAS Request Form (for KSSB Staff only)

The KC Blind All-Stars Foundation (KCBAS) is a 501(c)(3) nonprofit organization that supports the Kansas State School for the Blind (KSSB). KCBAS stands by the belief that youth who are blind and/or visually impaired can be valuable, contributing members of their schools and communities. OUR MISSION is to enhance employment, education and leadership opportunities; and experiences in sports music and the arts for students with visual impairments.
How do I apply for funding?
● Complete the KCBAS Request Form. Application is on the KC Blind All-Stars website under the "About" drop-down menu https://www.kcblindallstars.org/.
● Applications can be completed online OR submitted to info@kcblindallstars.org.

What is the application process?
The KCBAS Foundation will review your application and notify you if your application has been awarded or denied.

What is the reimbursement process?
Please send an invoice to info@kcblindallstars.org. Receipt(s) of the expense to be reimbursed must be provided before reimbursement can be processed.
Date of the Request*

MonthDayYear
Name of Individual Making the Request (Applicant)*

First NameLast Name
Email of Individual Making the Request *
example@example.com
Role/Title of the Individual Making the Request*
Name of the Funding Recipient, if different from the applicant.

First NameLast Name
Email of the Funding Recipient, if different from the applicant
example@example.com
Address of the Funding Recipient*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Role/Title of the Recipient, if different from the applicant
The KCBAS Foundation provides financial support to the following "TEAMS" endeavors: Please select the TEAMS program that you would like us to support.*

TechnologyEducationEmployment, EntrepreneurshipAthletics and Extra Curricular ActivitiesMusic and ArtsSkill Building
Requested AMOUNT AND DATE funding must be received*
Project Title (Event/Activity)*
Is this project for multiple dates? If it is, please add the additional dates under the Description of the Project.*

YesNoOther
Date of the Project (Event/Activity)*

MonthDayYear
Please provide a detailed description of your project, including a breakdown of how you intend to use the requested funds. *
Project Location*
Purpose or Expected Outcome(s) of the Project*
How many students will be impacted by this Project?*
To help us assess the effectiveness of our mission, please provide a brief impact statement of your project (e.g. who benefits from this project and in what ways?). We may contact you for more information after the event. *
If your project is funded, would you be able to send pictures and obtain consent(s) so we can post pictures on KCBAS Facebook Page and KCBAS Website?

YesNo
Other Comments or additional information
Questions? Email info@kcblindallstars.org
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