Complete the application form and use the submit button or mail to the address noted below. *Your Name: *Home Address: *City: *Zip Code: *Grade Level: *Phone: E-mail: *Name of adult sponsor: *Club/Organization (checks will be made payable to this group): *Club/Organization Address: *City: *Zip Code: *Phone: Fax: E-mail: *Project Name: *Date of project: *Project Location (including address and cross-streets, or neighborhood): *Number of youth participating: *Dollar Amount Requested: Please answer the questions below. The answers to these questions should not TOTAL more than two pages (this does not include the information above or the budget). 1. * Explain your project fully. 2. * Why did you choose this project? 3. * Who/what will benefit from this project? Specifically, how will the city of Phoenix benefit from this project? What is your project's proposed budget? Include all of the items you plan to purchase (for example, paper for flyers, signs, envelopes, and garbage bags for cleanup projects, etc.) You should include sales tax (8.1%) in your costs. Do not include any food or beverage items in your budget. Your budget total should match the "Dollar Amount Requested" above. Out of town trips will not be funded. Here is a sample budget (please use this format): Sample Budget Item Cost per item (store) Number of items Total Flyers to advertise event 10 cents per copy 100 flyers $10 Worker's gloves $5 per pair 20 pairs $100 Garbage Bags $5 per box 2 $10 Total Dollar Amount Requested $120* Proposed Budget* Item Cost per item (store) Number of items Total Total Dollar Amount Requested ** Total amount of Project: * Required fields **This number should match the Dollar Amount of Money Requested line. Return to: City of Phoenix Youth and Education Commission 200 W. Washington, 12th Floor Phoenix, Arizona 85003 (602) 495-0314 Fax: (602) 534-3644 Before you submit this form, we would like you to be aware of the city's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for one month.
*Your Name:
*Home Address:
*City: *Zip Code: *Grade Level:
*Phone: E-mail:
*Name of adult sponsor:
*Club/Organization (checks will be made payable to this group):
*Club/Organization Address:
*City: *Zip Code:
*Phone: Fax: E-mail:
*Project Name:
*Date of project:
*Project Location (including address and cross-streets, or neighborhood):
*Number of youth participating:
*Dollar Amount Requested:
Please answer the questions below. The answers to these questions should not TOTAL more than two pages (this does not include the information above or the budget).
1. * Explain your project fully.
2. * Why did you choose this project?
3. * Who/what will benefit from this project? Specifically, how will the city of Phoenix benefit from this project?
What is your project's proposed budget?
Here is a sample budget (please use this format):
Sample Budget
Proposed Budget*
Total amount of Project:
* Required fields **This number should match the Dollar Amount of Money Requested line.
Return to: City of Phoenix Youth and Education Commission 200 W. Washington, 12th Floor Phoenix, Arizona 85003 (602) 495-0314 Fax: (602) 534-3644
Before you submit this form, we would like you to be aware of the city's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for one month.
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