Grant Application

Program Grant Application

Does not require a Letter of Inquiry first. Program grants do not exceed $25,000 and applications that request more than the $25,000 threshold will not be reviewed.
Which Program is your Organization applying for:*

STEM Sprouts ProgramSTEM Stars ProgramSTEM Scholars ProgramTeen Tech Competition
Before you begin, please review the Application Submission Guidelines and the Terms and Conditions by visiting the links below and checking the appropriate box after reviewing:
VERY IMPORTANT:
1. We do not allow more than 1 (ONE) LOI or grant application submission per organization (per EIN) per calendar year. We do not award more than one grant to any organization within a calendar year. Subsequent LOI and/or grant applications (including program applications) will be deleted.
2. Do not use all capital letters, such as CapsLock, anywhere in this form. Please use proper punctuation and capital letters, just not all capital letters.
3. Falsifying any information on this form will result in immediate denial of the application without notice.
4. Program grant applications are capped at $25,000 per application. If the submitted program grant request exceeds the $25,000 threshold, the application will be deleted. Further to that, just because a specific amount is requested on the application it does not mean the Board will award the full amount based on the program, the budget and our budget at the time.
Which IRS Form 990 does your Organization file:*

Form 990Form 990-N or 990-EZForm 990-PFForm 990-TExempt from Filing
Explanation of Exemption from Filing Form 990*
Full Legal Name of Organization:*
This name should match how the Organization is known to the community and how the grant check, if awarded, will be made out. Please do not enter the name in all capital letters.
Date Established:*

MonthDayYear
EIN:*
Contact Person*

First NameLast Name
Title*
Contact Person E-Mail Address*

Confirmation Emailexample@example.com
Physical Address of Organization:*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address is Different from Physical Address:*

YesNo
Mailing Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Has this Organization requested funding from us in the past?*

YesNo
Has this Organization received funding from us in the past?*

YesNo
For the requested grant, what is your organization's specific project or program name that this funding would be used for?*
I understand that this application's grant request amount is capped at $25,000 and that any application exceeding $25,000 in the Amount of Grant Request box below will not be reviewed.*

Yes
Amount of Grant Request:*
Which state(s) will this grant benefit?*
Press CTRL to select multiple states, press CTRL+A to select all states.
Brief Summary of the Proposed Project/ Program*

Brief summary of what the Organization is requesting funding for including but not limited to details about why it is needed, if the project or program is new or how long it has been in existence, its growth, evolution, trials and tribulations, etc.0/500
Is this a new or existing project/program?*

New Project/ProgramExisting Project/Program
Total Budget for the Project/Program?*
Percent of Project/Program Budget Requested:*
How much has been raised so far?*
Percent of Project/Program Budget Raised so far:*
Organizations Total Annual Budget from all Sources:*
Percent of Total Organization Budget Requested:*
I have reviewed the above budget information and affirm that the information is true and correct:*

Yes
Grant Period Beginning:*

MonthDayYear
Grant Period Ending*

MonthDayYear
Why is this Project/Program needed:*

0/500
What do you hope the outcomes will be:*

0/500
Additional Information (Optional):
Geographic Reach*

LocalRegionalState-WideSurrounding StatesNational
Approximately How Many People will Benefit from this Grant:*
What best describes the initiative that this funding would be used for?*

STEM Early EducationMedical Advances/ResearchSTEM High School EducationSTEM College/University EducationSTEM RoboticsEntrepreneurshipTech CompetitionGeneral STEM/STEAM
Past Grant Information
Has this organization submitted all past annual reports using the Submit Report link on the Reporting page of our website?*

YesNoNo Past Grants
Your responses indicate that you have received a previous grant and have not yet submitted all required reports. We cannot consider any new funding requests until all outstanding grant reports have been submitted. Submitting this form without first completing those reports will result in the immediate denial of this request, and the organization will be ineligible to resubmit a funding request during this calendar year.
Most Recent Grants Received from Us:
Please enter up to the last 5 grants received from our Foundation:*
MM/DD/YYYY - $00,000
MM/DD/YYYY - $00,000
MM/DD/YYYY - $00,000
MM/DD/YYYY - $00,000
MM/DD/YYYY - $00,000MM/DD/YYYY - $AMOUNT
Most Recent Grants Received from other Foundations:
Please enter up to the last 5 grants received from other Foundations:*
Name of Foundation - MM/DD/YYYY - $00,000
Name of Foundation - MM/DD/YYYY - $00,000
Name of Foundation - MM/DD/YYYY - $00,000
Name of Foundation - MM/DD/YYYY - $00,000
Name of Foundation - MM/DD/YYYY - $00,000Name of Foundation - MM/DD/YYYY - $AMOUNT
Additional Organization Specifics
Organization Website:*
Organization President/ Executive Director*

First NameLast Name
President/ Exe. Dir. E-Mail Address*
example@example.com
President/ Exe. Dir. Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Organization's Mission Statement:*
Please only submit your actual Mission Statement.
Geographic Area Served:*
Please describe your geographic reach and the areas where your work occurs.
Statement Regarding IRS Designation:
Total # of Board Members:*
Total # of Staff:*
Should be Empty:

Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Program Grant Application

Before you begin, please review the Application Submission Guidelines and the Terms and Conditions by visiting the links below and checking the appropriate box after reviewing:

Past Grant Information

Most Recent Grants Received from Us:

Most Recent Grants Received from other Foundations:

Additional Organization Specifics

Statement Regarding IRS Designation: