Records & Archives
Student Grant Application
DUE DATE - THURSday, MaY 5, 2022
NOTIFICATION - FRIDAY, MAY 13, 2022
Student Grant Application 2022-23
(Please be sure to read over the types of qualifying programs.)
Due Date - Thursday, May 5, 2022
(Valid for any activities that occur between
May 18, 2022 and May 15, 2023.)
NOTE: This form does
save work when closed! As a precaution, type your answers in a word processing application, save, and then copy and paste.
NOTE: If you require special assistance filling out this form, please see Mr. Monti in Room 119.
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 will this activity help you and/or the RB community?
Please list all 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.
Please give us the name of an RBHS sponsor or staff member as a character reference for you. (You do not need a letter of recommendation.)
By checking below, 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 commit to being interviewed at the 2023 Telethon. (Most likely, next year's telethon will take place on a Saturday in April 2023, so please mark your calendar now as a reminder.)
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