Funding Application Basic InformationName of Organization/Committee Requesting Funding*Name of Project*Federal Tax ID#Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Name* First Last Contact TitlePhone*FaxEmail* Project InformationAmount Requesting*Total Project Budget*Preferred Payment Date* MM slash DD slash YYYY Type of Request* New Program/Project Capital Equipment/Materials Ongoing Support Other, please explain below Other Type of Request Details*Organization InformationBriefly describe the purpose of your committee/group.*Describe the Independence Community School District Need/Problem being addressed by this project.*Briefly describe the project.*Describe expected outcomes.*Describe student groups benefiting from the project.*Financial InformationHow will the funds you are requesting be used?*Describe other funding requests for this project.*Describe plans for ongoing funding (if applicable).Enter the characters below and then submit the form.