CCWNY ECHOS Mini Grant Application

APPLICATION
For which grant cycle are you applying?*

Nov 1-Feb 28 Awarded Mar.Mar 1-June 30 Awarded in JulyJuly 1-Oct 31 Awarded Nov.
Contact Information
School or Organization Name*
Street Address*
City*
State*
Zip Code*
Check made payable to: (MUST BE THE SCHOOL OR CLUB Not an person.) *
Checks must be payable to the school or school club. We cannot write checks to individuals.
School or Organization Website
optional
Person(s) Submitting Application*
Title*
Club or Department
If applicable. Grants will be considered within the same school as long as they are different projects and being organized by a different group.
Phone Number*
E-Mail Address*
Administrator Name (if not the submitter)
Title
Phone Number
Administrator's Email

School or Organization Information
Type of organization applying?*

Public SchoolPrivate SchoolYouth-Serving 501c3 organization
What WNY County are you located in? *
You must be located in one of the below 8 Counties of WNY.
Are you a CCWNY Member School for this school year in which you are applying?*

YesNoUnsure
Age group grant project will serve? *
How many will be impacted by your project? *
Youth-Serving 501c3 Applicants only

Please fill in the below questions.
Brief Description of Organization
Population Served

Proposal Request
Project Name*
Project Narrative. *

Please include as much detail as you feel necessary for us to understand your project. Narrative must include your goal/expected impact, who will execute the project (students, adults, both) and how the impact will be measured (data, observation, feedback.) 0/500
Timeline for your project. *
Please let us know the expected timeline for the project. Including planning, implementation, active engagement, and conclusion (if applicable): If your project will be ongoing, please indicate that as well.
Were students involved in the grant writing process? If so, in what way? *
Did students help with: ideas, research, writing...
Any additional information you would like us to consider.

0/200
How did you hear about this program?*

WebsiteSocial mediaColleagueDirect mailerCCWNY EventOther

ITEM	QUANTITY	VENDOR	PRICE	TOTAL
8 x 10 Picture Frames	12	ABC Co.	6.00	72.00

Youth-Serving 501c3 Applicants only