NOTICE: the deadline for applications has been extended to March 10, 2017 at 7 pm.
DPS Active Schools Micro-Grant Project Application Form
Submit by 7:00 pm March 10, 2017
Applicant Contact Information
School
*
Applicant Name
*
First Name
Last Name
Position/Role at School
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Project Information
Name of Project
*
Project location (must be on DPS property)
*
Please describe the existing challenges or conditions at this location (100 words)
*
Project description: what do you want to do? (200 words)
*
How will this project encourage active transportation (walking, biking, other modes) around your school? (200 words)
*
How did you arrive at this solution for your school? Please describe your decision-making process (200 words)
*
Please describe your plans for involving students in this project (100 words)
*
Do you agree to participate in follow-up evaluation for this project?
Yes
No
Budget Information
Copy and paste the following link in your browser to access the budget worksheet: https://docs.google.com/spreadsheets/d/1Ks1_mcsnwvjbyCQk47ZjtQ2ISzOTNcjuW9oqVUcrVC8/edit?usp=sharing
Proposed Budget Worksheet
*
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Facilities Manager Approval
Applicants must discuss project proposals with their school Facilities Manager (FM). The FM will then contact central administration to ensure that the proposed plan is approved for installation and meets timeline requirements for the grant. The FM must submit a letter of approval documenting this process.
School Facilities Manager (FM)
*
First Name
Last Name
School FM E-mail
*
School FM Phone Number
*
-
Area Code
Phone Number
Letter of Approval from School FM
*
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Additional Documentation
OPTIONAL: Supplemental Information
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On-Street Bicycle Corral Projects Only: Letter of Confirmation from DPW
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Applications must be submitted by March 10, 2017 at 7 PM
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