Child/Young Adult Individual Miscellaneous Grant : Scarlet Sock Foundation

DO YOU NEED FUNDING FOR SOMETHING NOT COVERED BY ANOTHER SSF GRANT? IF SO, CONSIDER SUBMITTING A MISCELLANEOUS GRANT APPLICATION! The following application may be submitted by the applicant or on behalf of a child by a parent or guardian, teacher, advisor, or social worker. Applicants are eligible to be considered for a grant if they have a demonstrated financial need, are between 5-23 years of age, and are a resident of Hampden, Hampshire, Franklin, or Berkshire counties of Western Massachusetts, and are from a historically marginalized population.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

STUDENT/PARTICIPANT DEMOGRAPHICS

Completion of this section helps SSF determine whether we are meeting our mission’s goals. Please answer the following questions to the best of your ability.

Does the applicant come from a single-parent household?

RACE/ETHNICITY

Completion of this section helps SSF determine whether we are meeting our mission’s goals. Please answer the following questions to the best of your ability.

DOES THE APPLICANT IDENTIFY AS LATINO OR HISPANIC?(Required)

Regardless of the answer to the prior question, please check off any of the following appropriate boxes for how the applicant identifies:(Required)

ALASKA NATIVE

ASIAN OR ASIAN AMERICAN

BLACK OR AFRICAN AMERICAN

INDIGENOUS NORTH AMERICANS

MIDDLE EASTERN OR NORTH AFRICAN

MULTI-RACIAL OR MULTI-ETHNIC

NATIVE HAWAIIAN/PACIFIC ISLANDER

WHITE

If none of the above apply, please specify:

GENDER

Completion of this section helps SSF determine whether we are meeting our mission’s goals. Please answer the following questions to the best of your ability.

FEMALE

MALE

NON-BINARY

OTHER

If other, please specify

AGE

Completion of this section helps SSF determine whether we are meeting our mission’s goals. Please answer the following questions to the best of your ability.

Age(Required)

Please enter a number from 5 to 23.

Your Project/Program

Program/Project Name(Required)

State your objective in 2-3 sentences

Briefly describe how your project will promote social justice?(Required)

What do you imagine the impact of your project will be on your community? By “community”, we mean your immediate community of participants, your audiences and wider community. ((( should we leave this purposely vague?))

Describe the project/program and activities(Required)

This section is intended for a broader description of the details of your project.

Project Specifics(Required)

Examples may include the timeline and duration of the program, how many times the program meets, total number of hours of programming.

What are your goals for the participants in this project/program? Please be specific.(Required)

Ideally, the goals should be tangible and something you intend to measure. Examples: literacy, leadership skills, confidence, sense of belonging, etc. Ideally it will relate to a need in the community where you project takes place.

How do you intend to measure the project's impact and show that you've met your stated goals?(Required)

Please share a few questions you plan to ask your participants to measure the project’s impact. Formats for gathering this information could include a survey/poll, interview or short answer questions, for example. Please include the method/format you plan to use. If you have any questions about data collection, please reach out to us. (((Is this a valid section on this app)))

How will Scarlet Sock funds be applied to your project?(Required)

Costs

Breakdown of Costs(Required)

Total Amount Requested(Required)

Please attach a line item budget for your project

Max. file size: 256 MB.

Post Program Expectations

Completion of a short data collection survey (to be completed by applicant) and an invitation to present at SSF’s annual Spring Gala.