BHCSD#2 BOCES Community Grant Program

Organization/Group Name: *

Primary Contact Person: *

Their Title/Role: *

Their Phone Number: *

Their Email *

Their Mailing Address: *

Address Line 1

Address Line 2

City

State

Zip Code

recieved Title/Role: is

Project Title: *

Requested Grant Amount (Typical range: $500 - $5,000) *

Total Project Budget: *

Project Start Date: *

Project End Date: *

Provide a brief summary of your project, including objectives and goals: *

How does this project align with BHCSD#2 BOCES' mission (post-secondary education, vocational-technical training, or community education)? *

Who is the target audience? Estimated number of participants? *

What key activities will be conducted to achieve project goals? *

Provide a breakdown of how the grant funds will be used (Ex. Supplies - $500, Instructor Fees - $1,000, Marketing - $300, etc. ) *

Has your organization recieved previous funding from BHCSD#2 BOCES? *

If Yes to previous question, please provide details:

Will additional funding sources be used for this project? *

If Yes to previous question, please list sources and amounts:

How will you acknowledge BHCSD#2 BOCES support in your project? *

Printed Name and Date: *

Agreement & Signature *

Clear Signature

By signing below, I certify that the information provided in this application is accurate. If awarded funding, our organization agrees to: • Use the grant funds solely for the approved project purposes. • Submit a final report within 30 days of project completion, including a summary of activities, participant data, and a final expense report with receipts. • Acknowledge BHCSD#2 BOCES support in promotional materials.