ENGINE Equity For All Mini-Grants 2023
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Email *
1.  Are you a partner of ENGINE of Central PA?  *If you are unsure, please visit ENGINE of Central PA Directory and if your organization is not a partner, please complete the Partnership Request Form. You can also reach out to Peney Wright, pwright@tiu11.org, to confirm your partnership before completing the form below. *
2.  Have you submitted your event to Remake Learning Days website? If not, please do this before completing the form below. If you need assistance, please contact Peney Wright, pwright@tiu11.org. *
3.  Name of organization *
4.  Street Address *
5.  City *
6.  State *
7.  Zip code *
8.  County *
9.  Point of contact's name *
10.  Point of contact email address *
11. Preferred contact phone number *
12.  Date of event *
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13.  Title of event *
14.  Who will participate in the event? Note: Preference is given to those that have a family/ community engagement component. Select all that apply. *
Required
15. Please tell us if your event includes any of these group(s) of learners below. *
Required
16.  What type of organization will you be partnering for the event? Please note, partnerships are not required but preference will be give to those working with other organizations. Select all that apply. *
Required
17.  What will the funds be used for? Please note, all marketing materials, giveaways, and food should be provided to participants of the event.  Select all that apply. *
Required
18.  How will your organization support access and participation for all participants in your community? Please be sure to consider all individuals including those of color, low socio-economic status, or English as a second language.  Additionally, how will you serve individuals with cognitive disabilities, physical disabilities, or areas of giftedness. Select all that apply. *
Required
19.  Are you requesting a grant for $250 or $500 for your event? *
20.  Any additional information/details you would like to share at this time?
21.  By submitting this form, I acknowledge that I am requesting $250 - $500 from ENGINE of Central PA for Remake Learning Days 2023. (It is our intent to fund all applicants, however applications will be reviewed on a first come, first serve basis. ENGINE will do the best we can to meet your request, but we may award an amount other than your selected preference to accommodate as many events as possible.) *
A copy of your responses will be emailed to the address you provided.
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