"*" indicates required fields1Contact Information2Project Details3Documentation⚠️ Before starting your grant application, please read the grant conditions.Contact InformationYour Name* Dr.MissMr.Mrs.Ms.Mx.M.Prof.The Rev.The Very Rev.The Rt. Rev.Canon Prefix First Last Your Email* Telephone number*Applicant School*School Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Organization Role* Head of School / Director Associate / Assistant / Division Head Rector Chaplain Diversity Practitioner Administrator OtherPlease enter your job title or role if selecting “Other.”Project DetailsGrant You Are Applying For*Please choose carefully from the following options.(PLEASE SELECT A GRANT)NAES Outreach FundYOU HAVE NOT CHOSEN A GRANT.The deadline to apply for an Outreach Fund grant is June 15, 2023.Grants from the Ann Mellow Fund for Professional Development are assigned on a rolling basis.Professional Development Program or Activity*Briefly describe the project for which you are seeking funding.Amount Requested*Enter the amount requested from the NAES Outreach Fund.Amount Requested*Enter the amount requested from the Ann Mellow Fund for Professional Development.Brief Description of Professional Development Program or Activity*Head of School Consent* I have permission from my head of school to submit this application.DocumentationChoose How to Upload Your Budget*Please note, grant applications missing a budget will not be considered. I want to upload a document I will add each line item to this formUpload Your Budget*Preferred file format is PDF.Accepted file types: pdf, doc, docx, xls, xlsx, csv, Max. file size: 50 MB.Add Your Project Budget*For example, a line item might be “Air fare to conference” with an anticipated cost of $200.Line ItemAnticipated Cost ($) Add RemoveClick the plus icon to add your next item.Upload Your W-9*Accepted file types: pdf, Max. file size: 50 MB.A blank fillable PDF is available here. ⚠️ Please upload your PDF document with a filename in the format: “School Name W-9.” Grant Conditions Agreement* By checking this box, all parties—including head of school—acknowledge having read and agreed to all conditions outlined in the grant conditions document.CAPTCHANameThis field is for validation purposes and should be left unchanged.Δ