"AFTER" PROM or "AFTER" GRADUATION ACTIVITY GRANT REQUEST FORM The Jackson Traffic Safety Program (JTSP) is offering grants to local high schools to support their "After" Prom or Graduation activities. The maximum grant is $250. If your school wishes to be considered for this grant, please complete this form and return to Susan Richardson, Region 2 Planning Commission, no later than April 3, 2015. Name of School: Contact Address Phone Number City Zip Code FAX Number E-Mail: After Prom Activity Date of Activity: Number of Students Enrolled In School: How will financial support be used to benefit the health & safety of the students? Please provide a brief narrative of how your After Activity will ensure the safety of the students in your school? After Graduation Activity Location of Activity: Number of Students Expected to Attend Activity: "AFTER" PROM or GRADUATION ACTIVITY GRANT REQUEST FORM Page 2 BUDGET INFORMATION Please provide a total budget for the event and list other sources of funding that you have or will request for this project. IMPORTANT INFORMATION: Within 60 days of completion of the "After" activity, please provide a brief narrative to the Jackson Traffic Safety Program summarizing the project's successes in order to be eligible for JTSP funding opportunities in the future. Applications can be submitted by e-mail: [email protected] FAX: 517-788-4635 Or mailed to: Susan Richardson, Senior Planner Region 2 Planning Commission 120 W. Michigan Avenue, 9th Floor Jackson, Michigan 49201 If you have any questions, please call Susan Richardson at 517-768-6705. REMEMBER!! Deadline is April 3, 2015