Service-Learning Grant Application

Please fill out the form below (or the Printable PDF) to be considered for a grant.

* Denotes Required

*I am a
*Name
*Phone
*Email
Brief description of Project (less than 250 words)
*Course Title
Associated Learning Objectives from Course
Approximate Number of Mount Aloysius Students Involved (if applicable)
Description of Outcomes and Measures
Project Timeline
Name of Community Partner Organization
Name of Community Partner Contact Person
Address of Community Partner
Community Partner Phone
Community Partner Email
Community Partner Website
Name of Individual to whom funds will be distributed
Phone Number of Individual
Email of Individual
Income: List expected revenue for the project (if any) including sources and amounts. Community organizations or agencies receiving the service might choose to participate in the cost of the project or service. This would include any in-kind donations such as costs associated with on-site training by the agency, supervision of students while at the site, time and resources required to complete any paperwork. Income:
Expenses: Provide an itemized list of the expected expenses by expenditure type that will be charged to this grant. Please adhere to the List of Eligible Uses of Funds.
Training
Meetings and Conferences
Communications
Materials and Supplies
Travel
Additional Comments

Total Amount Requested

Mount Aloysius College