Community Partnership Mini Grant Application

St. Louis Impact Fund Mini Grant Project Application

Please note that answers placed in this form will not save if you close out of the window. We strongly recommended you write yours answers in a separate document first and then transfer them to this form.

Did you complete a project overview form? *

Yes

This is a requirement for the grant. Please complete our online project proposal form before submitting your application.

Did you complete a proposal review meeting? *

Yes

This is a requirement for the grant. Please contact stlimpactfund@wustl.edu to schedule a proposal review meeting with a Mini Grant Committee Member before submitting your application.

First Name *

Last Name *

Preferred Name

Student ID *

Email Address *

Phone Number *

Academic Level *

School *

Community Partner Organization Name  

Community Partner Contact Name

Community Partner Email

Requested Funding Amount *

Tentative Project Title *

Synopsis of project (200 words or less) *

For showcasing purposes - will be featured on the St. Louis Impact Fund website or used in promotional material if grant is awarded. Please write in third person.

The project's fit with vision, goals, and values of the Gephardt Institute: *

Goals, anticipated outcomes, and subsequent action steps: *

Risk and Mitigation: *

What are the risks? How will you mitigate risks prior to project implementation? How will you address risks that present themselves during project implementation?

Project Timeline: *

Include date(s), time(s), and location(s) of preliminary planning, implementation, and culmination.

Criteria for success and evaluation method: *

Describe why this experience is relevant to your civic, academic, or career goals? *

Itemized Budget *

Maximum file size: 51.2MB

Using the budget template we sent to complete your itemized budget, including total project cost, number of people involved, and project cost per person.

Letter from Community Partner

Maximum file size: 51.2MB

Upload multiple files if needed.

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