Community Partnership Mini Grant 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 proposal? *

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 CivicEngagementFund@wustl.edu to schedule a proposal review meeting with a Community Partnership Mini Grant Committee Member before submitting your application.

First Name *

Last Name *

Preferred Name

Student ID or Employee ID *

Email Address *

Phone Number *

Affiliation with WashU *

Academic Status

Academic Level *

School *

Main Contact *

Amount Requested *

Project Title *

Synopsis of project (200 words or less) *

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

Purpose of and rationale for the project: *

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?

Community Organization(s)/partner(s) involved in the project: *

These are non-WashU local community members. Please include their organization name as well as the name and title of your primary contact person.

Describe relevant relationship with the community: *

Include target audiences, both outside and within the WashU community.

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 upload size: 51.2MB

Please download and complete the budget template. Include total project cost, number of people involved, and project cost per person.

Letter from Community Partner

Maximum upload size: 51.2MB

Upload multiple files if needed.

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