Junior Leaders Community Service Grant Application

Applications must be received by 11:59 pm on October 31st. Winners will be notified mid-December.

First and Last Name of Applicant*
Street Address*

Street Address

City

State

ZIP Code
Phone*
Age*
Grade*
School and School District*
Applicant's email address (optional)
Name of Adult Co-Applicant*
Co-Applicant's Phone Number*
Co- Applicant's Email Address*
Co-Applicant's Relationship to Applicant*
Title of Project*
How did you hear about this grant opportunity?
Short Answer Responses*
Please upload a Word Document or PDF that is three or less pages, double spaced with your responses to the following questions.
-Project Goals and Description (tell us your plans for the service project, who the project will
serve/benefit, what will you do, how will it make a difference in Stark County)
-Collaborating Agencies/Organizations (if this project requires the participation of any groups or
organizations, who are they and have they agreed to participate if you receive funding)
-Budget Outline (how much money are you requesting and how you plan to spend the money; remember,
you can only request up to $2,500)

Accepted file types: pdf, doc, docx.
Please review the guidelines and indicate below that you have read and agree to the terms.
Junior Leaders Grant Requirements and Guidelines
Electronic Signature of Applicant*
I understand the requirements and guidelines of the Junior Leaders Service Grant, and I agree that I will follow all such guidelines and requirements.
Don’t forget to upload your short answer responses before submitting.
Consent
I agree to the privacy policy.