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The Panther Foundation P.O. box 3652 |
Program Funding Application
Department/
Individual Name(s) ______________________________________________________
District Building _________________________________________________________
Contact Person _________________________________________________________
Phone _____________________Fax________________________________________
E-mail ________________________________________________________________
Program Title: __________________________________________________________
Program Budget: ___________________ Requested Amount: ____________________
Program
Date(s) _______________________________________________________________
Applicable Age Group/Grades ______________________________________________
Program’s History:
Has this program been approved by the building principal? _______
Has this program been submitted to the Central York School District for approval? _____
Please note that all programs submitted by District teachers and staff must be approved by the Central York School District first to be eligible for funding consideration by the Panther Foundation.
Is this a new program or is it already in existence? _______________________________
Kindly provide a narrative (two page maximum) to further describe your program. Please include an itemized budget. You may wish to include reference to any other sources to which you have already applied and sought funding. If this is an existing program, kindly indicate the date(s) when the program was held, your current funding source(s), the program coordinator(s), and the program results.
Note: Upon completion, the applicant(s) will be expected to share the program experiences at an upcoming Panther Foundation Board Meeting.
PLEASE PROVIDE A MAXIMUM 2-PAGE NARRATIVE TO FURTHER DEVELOP YOUR PROGRAM/PROJECT WITH AN ITEMIZED BUDGET.
ALSO, WE REQUIRE A FINAL WRITTEN REPORT WITHIN THREE MONTHS OF COMPLETION THAT INCLUDES: TOTAL EXPENDITURES AND DETAILED ACCOMPLISHMENTS OF THE PROGRAM.
| Signature of Applicant | Date |
Panther Foundation use only:
| Signature of Central York School District Superintendent | Date |
| Recommended (Signature of The Panther Foundation President) | Date |
| Not Recommended (Signature of The Panther Foundation President) | Date |
| Review at a later date (Signature of The Panther Foundation President) | Date
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Please note that all applications will be submitted to and approved by the Central York School District Administration first to be considered for approval by the Review Committee of The Panther Foundation.
Completed applications are sent to:
The Panther Foundation
c/o Pat Stauffer
P.O. box 3652
York, Pennsylvania 17402