INSHAPE Impact Mini-Grant Application
A one-time grant up to $500 to support impact programs in Health and Physical Education in Indiana K-12 schools. Up to 12 schools will be awarded; applications accepted until the grants run out. Rolling deadlines on the 14th and 28th of each month; you will be notified within two weeks. Funds must be used to improve at least one primary objective during the school year. Grants will be awarded in the form of a gift card at GOPHER Sport, Play with a Purpose, SPARK, Moving Minds, STEM supplies, and/or GOPHER Performance. Gift card code is given to YOU to use for your program. INSHAPE members in good standing are eligible. Board members and Grant Council members are not eligible.      
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Email *
Application Type: *
Is applicant currently an INSHAPE member? (required) *
Is applicant a member of the INSHAPE board of directors or the INSHAPE Grants council? (ineligible) *
Project Title: *
Applicant Name: *
School name & district *
Is your school registered with the health.moves.minds. program? (highly recommended) *
School mailing address: *
Please provide an email you can access outside school: *
Project Description - one paragraph summary of the scope of the project: *
Please describe the intended population to be served, including but not limited to grade levels, classes, approximate number of students: *
Student Learning Objective (SLO) - one paragraph summary of the primary objective or learning outcome: *
Implementation - Explain in more detail your lesson(s) or project: *
Rationale - In a short paragraph, explain why you chose this project or lesson(s): *
In a short paragraph, explain how you will report to INSHAPE the impact of your project once completed? Pictures? Videos? Comments from students/staff? Other? *
Desired project start date: *
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Expected project end date: *
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Budget narrative - Explain how grant funds will be spent. Include a list of equipment to be purchased along with item price and quantity, and TOTAL cost. If greater than $500, please indicate what sources will fund additional expenses. *
How many continuous years has applicant been an INSHAPE member? (length of membership is not an evaluation criteria): *
I agree to use any awarded grant dollars to fund health and physical education projects for my students. I also agree to share results with INSHAPE after I complete the project. *
Required
A copy of your responses will be emailed to the address you provided.
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