STEM Grant Application

SRC STEM Grant Application

Please fill out the form below to be considered for one of our STEM grants
for activities in the Central New York area.

1. Name of program *This question is required.

2. Name of sponsoring adult *This question is required.

3. Role of sponsoring adult (teacher, coach, guidance counselor, etc.) *This question is required.

4. Please provide the following contact information for the sponsoring adult: *This question is required.

Email address
Phone number Best number to reach you at between 8 a.m. and 5 p.m.

5. What county is your school in? *This question is required. Eligible counties: Onondaga, Oswego, Oneida, Madison, Tompkins, Cortland or Cayuga

6. School district *This question is required.

7. School name *This question is required.

8. Number of students involved in program/activity *This question is required.

9. What grade(s) are the students in? *This question is required.

10. Grant amount requested
minimum: $100, maximum: $500 *This question is required.

11. How will this grant be used?
Please note, grants are not intended to be used for trip expenses (including group lodging, etc.) but may be used for transportation. *This question is required.

12. Has your school attended a STEM Day (i.e., Students in STEM, etc.) at SRC? *This question is required.

13. Would you like your school to be added the list for a future event? *This question is required.