Educator Mini Grant Application

First Name (required)

Last Name (required)

Email (required)

Phone

What is your role? (required)

If you are a student, please provide the name and email of the teacher who will be supervising the project.

Name of School/Organization

Address of School/Organization

Street Address (required)

Address Line 2

City (required)

State/Region/Province (required)

Postal/Zip Code (required)

Country (required)

Address where activity will take place (if different from school/organization above)

Street Address

Address Line 2

City

State/Region/Province

Country

What grade(s) are the student participants? (required)

Estimated number of participants. (required)

Describe your educator Mini-Grant activity/project. (required)

How does your activity/project relate to water resources? (required)

Total amount requested for project. (required)

How will the funds be used? (required)

I understand that if my project is approved for funding, I must submit a short summary report of the completed project with photos and my receipts in order to receive funding reimbursement.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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