together we win grant application

I understand that to be eligible for a Together WE WIN grant, my child must: *

Check all that apply

Be a female student and attend school in Columbia, MO

Have not yet started 9th grade

Qualify for the free or reduced lunch program

I (parent/guardian) understand and agree that: *

Check all boxes

Applying for a scholarship does not guarantee funding, or funding for the full amount requested

Applications are processed in the order that they are completed; A completed application consists of submission of this application, a recommendation letter from a non-family member and proof of free/reduced lunch eligibility.

Applying for this grant does not register the child for the activity; I must register the child with the organization that provides the activity.

If Together We WIN funds are provided to the child, every effort will be made to transport the child to any and all activities associated with the event for which funds have been granted.

Child's First and Last Name *

First Name

Last Name

Child's Birthdate *

MM

DD

YYYY

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent or Guardian Name *

First Name

Last Name

Parent or Guardian Phone Number *

(###)

###

####

For what activity (or costs associated with participating in the activity) would the grant be used? *

Camp

Equipment

Gear

League

Other

When does the activity begin? *

MM

DD

YYYY

Have you received funding support from Together We WIN in the past? *

Yes

No

Is anyone else providing financial support? *

Yes

No