Applicant First Name
*
Applicant Last Name
*
Provider with which you are associated
Address
Street Address
City
State
Country
Enter your country
Postal Code
Phone
*
Email
*
Please describe your involvement in providing services and supports to adults with Down syndrome
Program Description:Describe the learning opportunity or materials for which you seek grant funds and the expected benefits of the program or service where you are employed. Among other factors, note if this is a new program; the expected outcomes for persons with Down syndrome and any members of CMDSS who will be directly served by the program or service.
Files: If available, attach documents that may be helpful in describing the program and its benefits.
Click to upload
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Program Cost:Provide the total cost of the tools or learning opportunity for which you are seeking funding. If you are applying for grant money that will cover only a portion of the actual costs, identify funding sources for the remaining costs of the tools or learning opportunity.
Files:Please attach documents that demonstrate the actual costs of the program or tools
Click to upload
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
If there is any additional information you would like CMDSS to consider as part of your grant application, please include it here.
Applicant Signature
Clear
Submit