Black Lives Matter at School Year of Action Grant Application

MSEA Black Lives Matter at School Year of Action Grant Policy & Guidance

Before beginning your application, please take a moment to review MSEA’s Black Lives Matter at School Year of Action Grant Policy and Guidance document. It will assist you in assuring your proposed program, service, or activity meets the grant criteria and is properly aligned with the purpose of the grant. It can be found by clicking HERE.

DEADLINE: 5:00pm on October 25th of the school year for which the grant is being requested. Late or incomplete applications will NOT be considered.

Please complete this form to be considered for an MSEA Black Lives Matter at School Year of Action (BLMASYA) Grant. Note: Only current MSEA members are eligible to apply. Applicants are required to provide their MSEA Member number. The MSEA Minority Affairs Committee will review applications and make recommendations to the MSEA Board of Directors for final approval. Please be sure to complete all required fields of the application.

If you have questions, email [email protected] with “BLMASYA Grant Question” in the subject line.

Name *

First

Last

MSEA ID #

If you do not know your MSEA member number, email [email protected] with “MSEA Member Number” in the subject line.

Personal Email *

Local Affiliate *

Are you applying individually or on behalf of a local? *

Note: If you are applying on behalf of a local, approval by that local’s leader (or their designee) is required.

Has that local president (or their designee) been notified about this grant request?

Name of person notified and date of notification.

Has your local association endorsed your program/service/activity or have you sought out such an endorsement? (Please explain) *

Date(s) of program, service, or activity. *

Provide a brief summary of the program/service/activity for which you are seeking funding. *

Which Black Lives Matter At School National Demand(s) directly align with your program/service/activity? Check all that apply. *

End Zero Tolerance; Implement Restorative Justice
Hire and Retain Black Teachers
Mandate Black History and Ethnic Studies
Counselors Not Cops

To which BLMASYA guiding principle(s) does your program/service/activity directly connect? *

What are the primary goals and objectives of this program/service/activity? How do these goals connect to the guiding principle(s) selected above? *

How does your program/service/activity focus on Black and Brown students/educators/communities of color? *

Who is your target audience? *

How many individuals do you anticipate participating/reaching/affecting? *

How will the program/service/activity impact students, educators, and/or communities? *

How will you/your local promote this program/service/activity? *

If the program/service/activity is to take place in-school, have you secured permission from your local school system/principal? *

If you answered "No" or "Other" above, please provide a brief explanation.

What is the total amount of grant funding being sought? *

NOTE: The maximum grant amount is $1,000 per individual/local association.

Please provide a budget breakdown of how you intend to spend the requested granted funding (for example, costs for curriculum materials, meeting space, printing, food, speakers, etc.). If actual costs are unknown, please provide an estimate of anticipated costs. *

Note: staff time and mileage are not considered allowable expenses.

I have read and understand MSEA’s Black Lives Matter at School Year of Action Grant Policy.

I understand that if I am selected for this grant I will need to provide a individual W9 form to receive grant funds.

Grant funds will only be paid to individual members or local associations. Grant funds are not paid to schools or school systems.

I am a current member of MSEA.