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2007 GRANT APPLICATION

(Applications must use this form and be completed electronically or typed)

Date:
Applicant Organization Name (as shown on 501 (c) (3) letter):
Mailing Address:
City: State: Zip:
Executive Director(s):
Program Director: __ Phone: Ext:
Program Director(s) email address:
Program Title:
Program Summary (25 words or less):

_____________________________________________________________________________________

When will the Program take place? Start: End:


Please note funding will not be distributed until after October 1, 2007.
Amount requested from US Airways Education Foundation (not to exceed $5,000)
Total funding required for this Program: $
Total annual organizational budget (not applicable for public schools): $
Percentage of total Program budget allocated to administrative costs: %
Do you receive funding from a federated campaign (i.e. United Way or United Campaigns)? Yes No
If so, what percentage of your annual operating budget do you receive from a federated campaign: %
Does a portion of your fundraising for this program go to your national organization? Yes No
If so, how what percentage? %
Geographic area to be served by this Program:
Description of population segment to be served:
Estimated number to be served:
Has your organization received funding from the US Airways Education Foundation (formerly the America
West Airlines Education Foundation) in the past? Yes No If so, when? ________
Title of Program funded and amount:
_____________________________________________________________________________
Please answer the following questions (in 500 words or less) and use additional pages as
necessary:

Describe your organization and the community it serves:

______________________________________________________________________________

Describe the educational program to be funded with support from the US Airways Education
Foundation, Inc.:

______________________________________________________________________________

Specifically, how will money granted by the US Airways Education Foundation be used? State the
specific goals you wish to achieve and describe the activities that will take place to reach those
goals:

______________________________________________________________________________

You will be required to provide a follow-up report. How will you evaluate and measure the impact
of the grant and how will the grant provide visibility to US Airways?

_____________________________________________________________________________
Portion of budget to
be supported by
Expenses Budget for the Education
Program Foundation Grant
Personnel/Staff (include salary and benefits)
a) Administrative $ $
b) Teaching (including aides) $ $
Total Personnel/Staff $ $
Outside Fees and Services
a) Consultants $ $
b) Other $ $
Total Other Fees and Services $ $
Remaining Operating Expenses
a) Supplies/Materials $ $
b) Other (please list) $ $
$ $
$ $
$ $
Total Remaining Operating Expenses $ $
TOTAL CASH EXPENSES $ $

ADDITIONAL PROGRAM FUNDING/SUPPORT


List principal sources and amounts of on-going annual support already secured for this educational program:

a) $

b) $

c) $

THE FOLLOWING INFORMATION MUST BE INCLUDED TO COMPLETE THE GRANT


APPLICATIONS. INCOMPLETE APPLICATIONS WILL NOT BE REVIEWED.

501 (c) (3) tax exempt letter


Detailed operational budget outlining all sources of financial support
Board of Directors list, including business affiliations and addresses

_________________________
Executive Director’s Signature Date
ADDITIONAL NOTES: