Health and Wellness Equipment Grant Application

Health and Wellness Equipment Grant

Application is due Feb 5th

Contact Name*
First Last
Applicant must be an ABSS teacher and work with Physical Education and Health and Wellness.
Contact Email*
Phone*
School Name*
Grade Levels Worked With*
School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Project Name*
Brief Summary of the Project:*
Please limit your response to 400 words or less.
Describe the Equipment Needed:*
Please limit your response to 400 words or less.
Describe the Need or Problem being adressed:*
Please limit your response to 400 words or less.
Provide a Brief Description of how the Equipment will Support Health and Wellness for Students:*
Please limit your response to 400 words or less.
Total Amount Requested:*
Please enter a number from 0 to 7100.
Up to $7,100 can be requested.
Itemized Cost Breakdown:*
Please include an itemized budget with a line of justification for each line item as well as how much you are requesting from Impact and if applicable how much will come from outside sources.
What are the 2-3 goals of the equipment/project?*
Please limit your response to 400 words or less.
What are some challenges that could be faced while implementing the project?*

Please limit your response to 400 words or less.
Provide the total student enrollment and the number of students that are currently participating in the Free and Reduced Lunch Program?*

Please limit your response to 400 words or less.
How will you determine if the goal of the project has been reached?*
Please limit your response to 400 words or less.
Please attach letter of support from principal?*
Max. file size: 50 MB.
Can be a pdf upload or screenshot of an email
Applications are due by February 5th at 5pm.
If selected, a site visit and student interviews will be conducted to evaluate the impact of the grant.
All equipment purchased with funds from this grant must remain at the school for which the application was submitted.

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Health and Wellness Equipment Grant Application

Health and Wellness Equipment Grant

Applications are due by February 5th at 5pm.

If selected, a site visit and student interviews will be conducted to evaluate the impact of the grant.

All equipment purchased with funds from this grant must remain at the school for which the application was submitted.