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Staff
Advocacy
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Professional Development
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Human and Civil Rights Grant
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MSEA Human and Civil Rights Grant Policy
Before beginning your application, please take a moment to review MSEA’s Human and Civil Rights Grant Policy 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 Human and Civil Rights (HCR) Grant.
Note: Only current MSEA members are eligible to apply. Applicants are required to provide their MSEA Member number.
The MSEA Human and Civil Rights 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 “HCR 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
*
–Select One–
ACEA
AFSCME
APSASAC
APSASCCO
CAESS
CaroCEA
CarrCEA
CASE
CCCTA
CEA
CESPA
DASA
DE
EACC
EASMC
ESPBC
FASSE
FCASA
FCTA
GASA
GCEA
HaCEA
HoCEA
KCESPA
KCTA
MCEA
PGCEA
QACEA
SAAAAC
SEA
SMASA
TAAAC
TABCO
TCEA
WasCESP
WasCTA
WCEA
WCESPA
WorCTA
Are you applying individually or on behalf of a local?
*
–Select One–
Individually
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?
–Select One–
Yes
No
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/activity.
*
Provide a brief summary of the program/service/activity for which you are seeking funding.
*
To which of the social justice strategies does your program/service/activity relate? Check all that apply.
*
Raising awareness of the diversity in the community.
Addressing the consequences of oppression.
Promoting understanding of the mechanisms that perpetuate oppression.
Resisting hierarchies of oppression by forming/developing strategies to foster justice with an inclusive mindset.
Planning lessons/activities/events that seek to address social justice personally, institutionally, and/or societally.
What are the primary goals and objectives of this program/service/activity? How do these goals connect to the social justice strategies selected above?
*
Who is your target audience?
*
What are the demographics of those whom this program/service/activity seeks to serve? To the extent possible, your response should include general demographic information (e.g. age, race, gender, income, etc.) about your target audience.
*
How many individuals do you anticipate will participate in and/or be impacted by this program/service/activity?
*
How does the program/service/activity advance human rights, social justice, and/or racial equity? Please provide specific details about how the effort will specifically focus on human rights and social justice.
*
Does the program/service/activity include partnerships or collaborations with other organization(s)?
*
–Select One–
Yes
No
If yes, provide details about the collaboration, including the name(s) of the partnering organization(s) and what (if any) financial or resource contributions they intend to contribute to the effort.
What is your plan for ensuring meaningful engagement with/robust participation of your target audience?
*
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?
*
Yes
No
Other
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 Human and Civil Rights 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.
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