nf-test-form If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Applicant Name * Job Title * Telephone Number * Email * Re-enter Email * Organization Name * Organization Type * Public School Public Library Address * Address 2 City * State * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampsireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip / Post Code * In 100 words or less, briefly describe the geographic location and composition of the population your organization serves. * 100 words(s) left Has your organization received an EJK Mini-Grant in the past? * Yes No For which year? What is the name of your proposed program? * Describe in detail the program activities, including how the students, educators and caregivers will be participating. * 200 word(s) left How does this program support or extend the basic curriculum? * 200 word(s) left If not funded by a Mini-Grant, will the program go forward? * Yes No If yes, how will it be funded? How many sessions will be held? * What will the length of each session be? * How often will sessions be held? * How many children do you expect to participate? * How many caregivers? * How many other participants? * Budget: Materials # of Units Cost Per Unit Subtotal Material # of Units Cost Per Unit Subtotal Material # of Units Cost Per Unit Subtotal Material # of Units Cost Per Unit Subtotal Material # of Units Cost Per Unit Subtotal Material # of Units Cost Per Unit Subtotal Material # of Units Cost Per Unit Subtotal Material # of Units Cost Per Unit Subtotal Material # of Units Cost Per Unit Subtotal As you enter materials, more fields will appear as needed. Total: Oops! It looks like you’ve gone over the budget of $500! Please review your budget for errors or reduce your materials if need be. Agreement: I understand that this project must be COMPLETELY and EXCLUSIVELY funded by the EJK Mini-Grant, and that no other funds will be used for the program. The Foundation will request the return of funds for failure to comply with these guidelines. If I receive a Mini-Grant, I understand the Final Report is due on June 1. I understand that if this proposal is accepted, I give permission for my Final Report to be used in publicity, articles or presentations, online and in print. My name and the name of the organization will be attached wherever the report is posted. I confirm that I belong to the organization named above and will use the funds awarded for the educational program herein described. When you check all the boxes, a Submit button will appear.