Applicant Information

To apply for a Safe Routes to School Mini Grant, please provide the information requested below.

To complete your application, please mail or email a LETTER OF SUPPORT from the school principal to:

Seattle Department of Transportation
Attention: Ashley Rhead
P.O. Box 34996
Seattle, WA 98124-4996
ashley.rhead@seattle.gov

The deadline to receive your completed application and letter of support is October 31st for fall applications and April 30 for spring applications.
School or Group Name:

Question Title

* 1. School or Group Name:

Type of Group (i.e. School, PTA, 501(c)3, etc.):

Question Title

* 2. Type of Group (i.e. School, PTA, 501(c)3, etc.):

Group Leader Name:

Question Title

* 3. Group Leader Name:

Group Leader Phone Number (i.e. (XXX) XXX-XXXX):

Question Title

* 4. Group Leader Phone Number (i.e. (XXX) XXX-XXXX):

Group Leader Email Address:

Question Title

* 5. Group Leader Email Address:

Fiscal Sponsor Contact Name:

Question Title

* 6. Fiscal Sponsor Contact Name:

Fiscal Sponsor Contact Phone Number (i.e. (XXX) XXX-XXXX):

Question Title

* 7. Fiscal Sponsor Contact Phone Number (i.e. (XXX) XXX-XXXX):

Fiscal Sponsor Contact Email Address:

Question Title

* 8. Fiscal Sponsor Contact Email Address:

Grant Amount Requested (up to $1,000):

Question Title

* 9. Grant Amount Requested (up to $1,000):

Describe how your group will use these funds. Please provide a general estimate of how much grant funding will go to each element of your proposed project or program. 150 word limit.

Question Title

* 10. Describe how your group will use these funds. Please provide a general estimate of how much grant funding will go to each element of your proposed project or program. 150 word limit.

How will this project or program improve pedestrian and bicycle safety at your school? 150 word limit.

Question Title

* 11. How will this project or program improve pedestrian and bicycle safety at your school? 150 word limit.

How will these funds encourage more children to walk or bike to your school? 150 word limit.

Question Title

* 12. How will these funds encourage more children to walk or bike to your school? 150 word limit.

Please estimate the timeline to implement this project or program. Funds must be spent within 1 year. 150 word limit.

Question Title

* 13. Please estimate the timeline to implement this project or program. Funds must be spent within 1 year. 150 word limit.

T