Date:
Group or Individual Name:
Department:
Email: Phone:
Project begin date: Project end date:
Title of Project:
Brief descripton of project:
Amount requested (Should not exceed $500.00):
Total project amount:
Signature of Applicant Signature of Dean
Community Partnership Mini-Grant
Application Form
Community Partnership Mini-Grant
Narrative
Please supply information pertaining to the categories below. You may use this sheet or attach separate pages.
We request that you limit your narrative responses to a maximum of two (2) pages in total.
• Describe your groups/individual mission.
• How will the requested funds be used?
• Describe the recipients or beneficiaries of this project.
• Provide the anticipated impact of this project.
• If there are additional funders, who are they?
• Please submit a detailed budget. A separate budget page may be attached.
If you have questons or require further assistance please contact:
Stephanie Moran
Office of Community Engagement
765-641-3714
