First Name of Applicant  

Last Name of Applicant  

Title  

Name of Association  

Name of School  

Location of School  

Amount Requested($500 Maximum) $    

Date  

Phone  

Email    

1. Please describe your grant request.

2. As specifically as possible, please list the way that the funds would be spent.

3. What other funding will be used or integrated in this event/expenditure?

4. The mission statement of the CFM Foundation is to "increase academic and athletic opportunities for under-resourced children". Please explain how the grant will further the CFM Foundation mission.

5. Please describe the association (class, club, team, etc.) that will benefit from the grant. Please include the number of children involved in the association.