Safety Assistance Grant Application

Safety Assistance Grant Application

Designed to be used for, but not limited to, the purchase of equipment, facility and security repairs/updates, and cybersecurity software/hardware that will create and/or protect the school environment.
Member Name (SU/SD):*
Applicant Name:*
Applicant Title:*
Email:*

Confirmation Emailexample@example.com
Phone #:*
Please enter a valid phone number
Examples:
- Playground surfacing
- Ergonomic equipment
- Building security measures
- Ladders
- Kitchen safety equipment (knife blocks, cut resistant gloves, and long oven mitts)

Grant Amount: $7,500 per member per fiscal year.
An additional $2,500 is available to members if the grant is being used to address an issue(s) arising out of a recommendation made during a VSBIT inspection or audit within the past 12 months, or if the member participates in a Risk Strategy Consultation with the VSBIT Risk Management Team - a 30–45 minute planning session to review assessment findings, identify improvement opportunities, explore available services, and set achievable safety goals to guide the use of grant funds.

This grant is not intended to deal with preventive maintenance issues or recurring expenses.

Be sure to review the VSBIT Grants Page for additional information!

Please forward any additional documentation (if available)

Please include all costs associated with each item.

Requested Grant Amount: (max: $7,500)
Calculated from Total Cost column above
An additional $2,500 is available to members if the grant is being used to address an issue(s) arising out of a recommendation made during a VSBIT inspection or audit within the past 12 months, or if the member participates in a Risk Strategy Consultation with the VSBIT Risk Management Team - a 30–45 minute planning session to review assessment findings, identify improvement opportunities, explore available services, and set achievable safety goals to guide the use of grant funds.
Is this grant request arising from recommendations made during a VSBIT inspection or audit?*

YesNo
Has the Member participated in a Risk Strategy Consultation with the VSBIT Risk Management Team?*

YesNo
How will this purchase, repair, or construction create a safer environment for your facility?*
Please attach an invoice or estimate below.

If you have any questions, please contact Ben Prevost (Ben@vsbit.org)
Invoice/Estimate Document Upload*

This is required for approval
Cancelof
Additional Document(s)

Cancelof
Date*

MonthDayYear
Date
Business Manager or Superintendent Signature*

Clear
Business Manager or Superintendent Printed Name:*
Should be Empty: