Funding Application Basic InformationName of Organization/Committee Requesting Funding* Name of Project* Federal Tax ID# Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Name* First Last Contact Title Phone*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.