FRIENDS OF PLEASANT BAY  

SCHOOL GRANT APPLICATION

    FINANCIAL INFORMATION

 Application Information:

__________________________           ___________________________

Name                                                          Phone (day/evening)

__________________________           ___________________________

School Mailing Address                            Email Address

__________________________           ___________________________

City/State/Zip                                 

Grant Budget Information

Total Project Cost $___________

Matching Funds    $___________ Source________________

Project Expenses                              Project Contributions

A. Salaries                                                  A. Clubs or Organizations______

  1. Artist/Scientist$___________                   Other Non Profit________

  2. Administrative$___________

  3. Other               $___________ B. In Kind Contribution_______

B. Rental Costs     $___________          (donated space, material, services)

C. Travel               $___________

D. Remaining Exp$___________

  1. Supplies          $___________

  2. Printing           $ ___________

  3. Other                $___________         C. Amount Requested From

                                                                        Friends of Pleasant Bay

Total Expenses      $___________          $_______________________

_____________________   __________________   ________________

Signature                                Position                            Date