APPLICATION FOR GRANT FUNDS
Amy Adina Schulman Memorial Fund
Print and complete this application.
Name ________________________ Date_____________
e-mail ________________________
Permanent Address
________________________________________________
________________________________________________
Phone___________________________________________
Current Address (if different)
________________________________________________
________________________________________________
Phone___________________________________________
Budget
Estimated cost of activity or project: $__________
Other sources and amounts of funding:
Self (or parents) $_________
Other resources:
__________________ $_________
__________________ $_________
__________________ $_________
Total amount requested from the Fund: $___________
I agree to give a written report to the Fund upon conclusion of the activity. Any written material submitted may be used in the Fund's annual newsletter.
Signed________________________________________
Attach a sheet responding to items 1 through 4 below:
1) Describe the project in detail with proposed dates of the activity.
2) How does this proposal meet any one of the Fund's purposes? Click to see
3) a. Describe the extended period of service during which time you will contribute time and/or expertise to some aspect of Israeli or American life in areas such as:
Building a more just and egalitarian society Civil rights, environmental, or peace activities
Feminist concerns
Enhancing understanding among peoples
Educational Zionist youth movement activity
b. The grant requires a commitment to educate others through lecture, program or other activities upon returning to your home or school community. You must be willing and able to do this so others will have the opportunity to learn about and to be inspired to do similar work. Describe how you will do this.
4) Provide a short biographical statement including age, work experience, how and why you became interested in this project/activity.
Letters of Recommendation
Two letters of recommendation must be sent to the address below, plus a letter of invitation/acceptance from the program with which you will be working.
MAIL THE APPLICATION TO:
