"AFTER" GRADUATION ACTIVITY GRANT REQUEST FORM

"AFTER" PROM or
"AFTER" GRADUATION
ACTIVITY GRANT REQUEST FORM
The Jackson Traffic Safety Program (JTSP) is offering grants to local high
schools to support their "After" Prom or Graduation activities. The
maximum grant is $250. If your school wishes to be considered for this
grant, please complete this form and return to Susan Richardson,
Region 2 Planning Commission, no later than April 3, 2015.
Name of School:
Contact
Address
Phone Number
City
Zip Code
FAX Number
E-Mail:
After Prom Activity
Date of Activity:
Number of Students Enrolled In School:
How will
financial
support be
used to
benefit the
health &
safety of the
students?
Please provide
a brief narrative
of how your
After Activity
will ensure the
safety of the
students in
your school?
After Graduation Activity
Location of Activity:
Number of Students Expected to Attend Activity:
"AFTER" PROM or GRADUATION ACTIVITY GRANT REQUEST FORM
Page 2
BUDGET INFORMATION
Please provide a total budget for
the event and list other sources of
funding that you have or will
request for this project.
IMPORTANT INFORMATION: Within 60 days of completion of the "After" activity,
please provide a brief narrative to the Jackson Traffic Safety Program summarizing the
project's successes in order to be eligible for JTSP funding opportunities in the future.
Applications can be submitted by e-mail: [email protected]
FAX: 517-788-4635
Or mailed to: Susan Richardson, Senior Planner
Region 2 Planning Commission
120 W. Michigan Avenue, 9th Floor
Jackson, Michigan 49201
If you have any questions, please call Susan Richardson at 517-768-6705.
REMEMBER!!
Deadline is April 3, 2015