This form is intended to assist in the organization and planning of your grant request.
Please do not print and submit this form. REF is only able to accept grant requests via the online tool.
This form contains all fields you will be asked to fill out when submitting the online form. Brief explanations are provided for some of the fields. If you have any other questions regarding the submission of a grant request, please contact the REF Grants Administrator, Linda Rubin, at firstname.lastname@example.org.
Tip: To avoid losing your work, we recommend you type your answers in a word document so that you can copy and paste them directly into the online form.
Top of Form
Title of Proposal:
And/Or Equipment Request:
Select a School or Program:
Number of students engaged in this project this year:
Total amount requested:
REMINDER: Individual classroom grants are capped at the level of $1,000. School-wide programs serving more than 300 students will be awarded up to $5,000. All other grants (e.g. whole school or programs with fewer than 300 students, whole grade level and department-wide) awarded up to $3,000.
Select Staff, Parent or Student:
What is your Position?
If you’re a Parent or Student, who is your Staff Sponsor?
Enter a valid Email Address to reach you:
Enter your Phone Number:
Is this grant based on co-funding with another source (i.e. PTA)? (Yes or No)
If yes, has the co-funding been secured? (Yes or No)
If no, is the co-funding contingent on receiving the REF Grant? (Yes or No)
Is this a technology-based Grant? (Yes or No)
Is this a Student Services Grant? (Yes or No)
Is this a Health & Wellness Grant? (Yes or No)
Briefly describe entire project:
How does this project support or promote health and wellness, if applicable?
What are the educational benefits to students?
How does this program enhance or expand the curriculum?
How will students be engaged in the project?
Where and when will this project take place?
List people involved in the implementation of this grant. (There is room for 5 names on grant form.)
List Budget Requirements: (List of items that will be purchased if grant is approved. If another entity such as the PTSA is providing funding, that can be noted here. There is room to list 5 items. A separate list, cost estimate, etc. can also be emailed to the REF Grants Administrator at email@example.com for inclusion with your grant request.)
Tax (Washington State Sales Tax)
Shipping (Total cost of shipping.)
Total Cost of Project: (Grand total for entire project.)
Total Request from REF: (Grand total for grant request. This should match the amount provided above. Please note the classroom, department, and school-wide request limits.)
Outline the steps anticipated to achieve the program’s goal and estimate the time to accomplish each phase. (If this grant request is chosen for funding, what are the steps and timeline for implementation of the project? There is room for 5 steps.)
List product/equipment information from public web sites. (List the name of the product and the product URL. There is room for 5 items. A separate list can also be emailed to the REF Grants Administrator at firstname.lastname@example.org for inclusion with your grant request.)
How will you monitor and measure the benefits/success of this project?
With preference given to grants which support innovative teaching methods, please include any other details that would define your grant as innovative.
You will receive an email from the REF Grants Administrator once your grant has been successfully submitted. If you do not receive an email confirmation, your grant has not been submitted.
Bottom Of Form