Records & Archives
Student Grant Application
Student Grant Application 2017
NOTE: This form does
save work when closed! We recommend you type it in a word processing application, then copy and paste it over.
NOTE: If you require special assistance filling out this form, please see Jim Franko in Student Services.
Indicates required field
Grade Level (Current seniors are not eligible to apply.)
Program Website (If Available)
Registration Deadline Date
Program Start Date
Program End Date
For What Purpose Will The Grant Be Used?
To ensure full consideration all supporting information is required such as brochure, website, camp application form, outlining the event/program/camp and costs.
What Do You Hope To Learn And Accomplish From This Experience?
Be detailed: How this will help you and/or the RB community?
Please list all expenses you expect to incur. Checks will be made payable to the organization or group sponsoring your requested grant.
Expenses You Expect To Incur
Have you secured funds from other sources?
What is your contribution (If $0, please explain.)
Amount you are requesting from the RBEF?
Please pay organization directly.
Please pay grant recipient directly. (To be reimbursed, confirmed registration AND receipts for expenses are required.)
Based on payment option, include the appropriate address
In addition to this form, students are also responsible for getting a letter of recommendation from a RBHS sponsor or staff member emailed directly to or submitted in a sealed envelope to Jim Franko in Student Services. Please indicate in the following box from whom you will be getting a recommendation letter.
By checking this I agree that I, a student of Riverside Brookfield high school, have completed this application myself. If it is found that I have falsified this statement, I acknowledge disqualification from all RBEF monetary awards.
If I am awarded a grant, I understand that I will interviewed and also commit to working the phone bank at the 2018 Telethon.
Riverside Brookfield Educational Foundation ©2017