EmailMe Form - 2013 Candlewick Press Light the Way Grant

2013 Candlewick Press Light the Way Grant

This application form cannot be saved during the process. Please do not fill out and submit the form until you have all the necessary information. All nomination forms are due by November 15, 2012.

Please refer to the Light the Way Grant Web page (http://www.ala.org/alsc/awardsgrants/profawards/candlewicklighttheway) for more information about the application. If you would like to review the application before submitting electronically, you can use the PDF document located on the Web page.

If you have problems submitting this electronic form, please contact Paula Holmes, Library Service to Special Population Children and their Caregivers Chair, at qsprite@gmail.com.

Fields marked with a red asterisks are required. Screen readers will say the word "star."

APPLICATION
ALA Membership is a prerequisite for this grant.
Project Name *
Library Name *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone *
### - ### - ####
Project Coordinator *
First Last
Project Coordinator Title *
Project Coordinator's Phone *
### - ### - ####
Email *
ALA Membership # *
Are you a member of ALSC? *
Yes
No
Library homepage *
Size of library's service population *
Director's name *
First Last
Director' s email *
SUMMARY OF PROPOSAL
Provide a brief summary of the proposed program or service in 250 words or less. This should be a short overview of the proposal. *
TARGET POPULATION
Briefly describe the community served by your library. Provide a concise economic and demographic profile (i.e. rural, urban or suburban, ethnic mix of community, etc.). *
Describe your target audience and the need for outreach to this special population. (If you are targeting more than one audience, please describe in detail each audience and the need for outreach.) *
How will they benefit from this project? *
Will a person who represents your target population be involved in the planning of the project? If so, how? *
How will you make this program/service accessible to your target population? *
Will the outreach program/service be restricted to members of the target population or open to other members of your community? *
PROJECT INFORMATION
Please answer the questions in the order that they are presented.
What are the goals of your project? *
Approximately how many people do you expect to participate? *
Will it be a continuation/expansion of a current program/service or a new project? How will this project differ from what you currently offer? *
Will you be collaborating with a community agency or school? If so, name the agency or school and describe the responsibilities of each partner. Please include in-kind or cash contributions to the project. *
How will you measure the project’s success? *
What plans do you have for publicizing/marketing the project to your intended audience? *
How do you plan to document your project? *
How will the funds directly support your project? Include an estimated budget of specific expenses. (Expenses such as food or babysitting are allowed but should be noted.) *
Include a project timeline with action steps. *
GRANT SIGNATURE FORM
Please refer to the Light the Way Grant Web page (http://www.ala.org/alsc/awardsgrants/profawards/candlewicklighttheway) to download this form and send to Paula Holmes at qsprite@gmail.com.

This form must be signed by the person completing the application and the director or supervisor.
I understand the terms and criteria for this application. *
Yes
No
SUBMISSIONS
Once you click the submit button your application will be sent to the selection committee. You will receive confirmation that your proposal has been received. If the form will not submit, please scroll up to see required fields marked with a red asterisks that have been left blank. All required fields must be filled out.

If you have any questions, please contact Paula Holmes, Library Service to Special Population Children and their Caregivers Chair, at qsprite@gmail.com. All applications must be submitted by November 15, 2012.

APPLICATION

SUMMARY OF PROPOSAL

TARGET POPULATION

PROJECT INFORMATION

GRANT SIGNATURE FORM

SUBMISSIONS