Innovation Grant Interest Form
Thank you for your interest in the Buckle Up for Life Innovation Grant

Please Note: 
All Innovation Grant funds have been allocated for the 2023-2024 program year.  However, we invite you to submit your interest form, now, for consideration for 2024-2025 funding when it becomes available.

Through this opportunity, Buckle Up for Life will support the development and implementation of one or more innovative pilot projects to reduce the risk of motor vehicle passenger-related injury and death.

We encourage creativity to help address old problems in new and novel ways, and we aim to identify emerging best practices that can be scaled and spread to further impact in subsequent program years.

**NOTE: This is not the official application, but only an interest form to introduce your idea. We will contact you regarding next steps.**
Sign in to Google to save your progress. Learn more
Email *
Organization Name *
Contact Person (First and Last Name) *
Please share, in a short paragraph (500 characters or less), some details about your idea for an innovative child passenger safety project. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy