Human and Civil Rights Grant

Name *

First

Last

MSEA Member # *

Personal Email *

Local Association *

Are you applying as an individual or a local? Note: If you are applying as a local, it requires the local's approval. *

Dates of program, service, or activity. *

Provide a narrative on how the program, service or activity came to be/was developed. *

What are the goals and objectives of your program, service or activity? *

How does the program, service, or activity advance social justice and/or racial equity/human rights? *

To which of the social justice strategies do your activities/events relate? *

Does the program, service, or activity include partnerships or collaborations with other organization(s)? If so, what organization(s)? Provide a detailed description of the collaboration including what if any financial or resource contributions will be made. *

How do your grant activities/events focus on social justice/human rights? *

How are you ensuring participation of students/community members, etc.? *

Who is your target audience? *

Provide the projected demographics of those who will be served by the program, service, or activity (response should include age, race, gender, income)? *

How will you/your local promote the events/activities for your program, service, or activity? *

If the program/event/activity is in-school, have you verified that it is allowed by your local school system/principal? *

Provide an estimated statement of need for the grant money, including a direct expenses budget, i.e. curriculum materials, meeting space, printing, food, speakers, etc.) Note: staff time and mileage are not allowable expenses. *

Click or drag a file to this area to upload.

Can your event/activity be moved to a virtual format if necessary? *

MSEA HCR Grant Policy

Please read MSEA’s Human & Civil Rights Grant Policy here: https://marylandeducators.org/wp-content/uploads/2022/08/HCR-Grant-Policy-Updated-May-2022-2.pdf

I have read and understand MSEA’s HCR Grant policy.

If I am selected for this grant, I understand that I will need to provide a individual W9 form to receive the 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.

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