GRANT APPLICATION

GETTING STARTED

If you would like assistance with starting the Annual School Pool Program at your school, apply with the Technical Assistance & Grant Application below. This application will describe the problems your school is facing and provide information for us to design specialized assistance based on your school needs. The School Pool program will need a liaison from your school to manage the program and communicate progress with us. This annual grant with sponsor up to $2000 for activities to promote alternate modes of transportation such as:

Flyer printing
Graphic design
Parent meet and greet
Personnel managing premise

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Grant Application

SCHOOL CONTACT INFORMATION

Name of School

School Address

City

State/Province

Zip/Postal

Phone Number

POINT OF CONTACT

SCHOOL POOL CHAMPION (if different from above)

QUESTIONS

1. Provide an aerial map (Google) identifying the school and surrounding roadways.

Maximum file size: 2.1MB

2. What is the school’s arrival and dismissal periods? Indicate all time frames including early release days, if any.

3. Is there currently a car line procedure (include any applicable details)? Indicate approximately in minutes how long are you waiting in the car line, if applicable?

4. Provide an aerial map (Google, and zoomed-in preferred) identifying the car line(s) (pick-up and drop-off) location. Differentiate between arrival and dismissal car line(s) by using different maps (if applicable).

Maximum file size: 2.1MB

5. Provide an aerial map (Google) identifying crossing guard locations (if applicable and information is available).

Maximum file size: 2.1MB

6. Do current students participate in school pools?

7. What is the percentage of students who live 2 miles or less from school?

8. What is the percentage of students who walk to school (rough estimate)?

9. What is the percentage of students who bike to school (rough estimate)?

10. Provide an aerial map (Google) showing where sidewalk and bicycle lanes within a mile radius do not exist. Use different colors to show sidewalks and bicycle lanes. Be sure to indicate which side of the roadway the sidwalk and bicycle lanes do not exist.

Maximum file size: 2.1MB

11. What type of assistance are you requesting?

12. Which of the eligible uses below will the funding go towards? (Select all that apply if Question 11 is answered “Microgrant”)

Other (please specify)

13. Any additional comments pertaining to questions 11 or 12?

14. Are you aware of any Safe Routes to School grant application in the past?

15. Are you aware if the school received any Safe Routes to School grant benefits (if Question 14 is answered “Yes”)?

16. What were the benefits received from the Safe Routes to School grant (if Question 15 is answered “Yes”)?

If you are human, leave this field blank.

GRANT APPLICATION

GETTING STARTED

SCHOOL CONTACT INFORMATION

POINT OF CONTACT arrowup6

SCHOOL POOL CHAMPION (if different from above) arrowup6

QUESTIONS arrowup6

POINT OF CONTACT

SCHOOL POOL CHAMPION (if different from above)

QUESTIONS