Request Funding - M.E.A.D.A

Schools requesting funding are encouraged to complete the Drug Free Communities Four Core Measures Survey and the Minnesota Student Survey. Local youth substance use data is essential to tailoring MEADA’s efforts of preventing use and building protective factors.

FUNDING REQUIREMENTS

Submit at least 60 days prior to needing funds
Ensure project addresses youth drug awareness or prevention
Ensure project addresses the needs of the Wright County community

If funded, credit MEADA on project materials and submit a Grant Follow-Up Form

GRANT REQUEST FORM

TODAY'S DATE

ORGANIZATION

CONTACT NAME

PHONE

PROJECT TITLE

PROJECT DESCRIPTION

HOW DOES THIS PROJECT ADDRESS YOUTH SUBSTANCE USE?

HOW DOES THIS PROJECT ADDRESS THE NEEDS OF THE WRIGHT COUNTY COMMUNITY?

ESTIMATED REACH OF PROJECT

AMOUNT REQUESTED (UP TO $500)

PROJECT DATE(S)

FUNDS NEEDED BY

ACKNOWLEDGEMENT

I acknowledge that my organization can receive a maximum of $500 per calendar year. I acknowledge that meada only reviews grant requests at their bimonthly meeting on the second wednesday of even months and grants with a . I acknowledge that, if funded, my organization must complete a follow-up form and that failure to do so may result in denial of future funding requests.

ADDITIONAL COMMENTS

MAKE AWARD CHECK PAYABLE TO

MAIL AWARD CHECK TO