For Schools, Public Agencies and 501©(3) Organizations

The Phoenix Project of the Maryland State Department of Education
In association with The National Cristina Foundation.

Grant Application _ Printable PDF Version

Dear Applicant,

The above organization accepts applications from qualified organizations who are either a not for profit - 501(c)(3) - organization or a public agency or a school or school system. Preferences for computer donations are given to organizations engaged in the education, rehabilitation, or training of at-risk or economically disadvantaged students.

Equipment donations are based on availability of donations of technology within this area and our waiting list priorities. If your application is accepted, you will ok the Award of Property Agreement that must be signed by a designated executive and returned to the Phoenix Project before any equipment can be directed to your organization. This document lists the conditions regarding the receipt of equipment and its use. If you choose to complete this grant application you must return it to us with a copy of your 501(c)(3) designation.

Please be sure that the designated administrator signs the application.

Grant Application Project Description

Project Description

1) Project name/title that will identify your program:

2) Project location (if different from your central location):

3) Project abstract (give a brief description of your project up to 150 words):

4) Statement of need (the purpose or need for your project):

5) Project objectives and planned activities to meet those objectives:

6) Target Population (list the group(s) that will benefit from your project, their age level,
Disability or special need, and how many people will be helped through computer
donations):

7) Expected outcomes of your project:

8) Hardware you plan to use to accomplish your objectives:

9) Software you plan to use to accomplish your objectives:

10) Number and type of computers requested:

11) Do you need the computers loaded with the Windows 98 Operating System?
Yes_______ No_________

Signature & Summary

Applicant Signature & Summary

To be signed by designated administrator upon submission of application:
In submitting this application, I understand we receive equipment from MSDE's Phoenix Project at no cost, but with a per computer handling fee of $20.00. We are responsible for completing all paperwork associated with your receipt of donated equipment and returning requested documents promptly Also, I agree that my organization will provide information to The Phoenix Project upon request about the use of donated technology so that this information is available to donors and other organizations.

Signed: ___________________________________________________________________

Name: ___________________________________________________________________

Title:______________________________________________________________________
(print)

Telephone Number: Day__________________________Night______________________

Mail or fax your organization's application to:

The Phoenix Project of the Maryland State Department of Education
c/o Dr. Darla Strouse
Maryland State Department of Education
200 West Baltimore Street
Baltimore, MD 21201