Please submit one application per program site:

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* 1. Contact and program information:

Please provide the proposed start date for the PAC program
Note: Initial application review date will be 2 weeks after the due the date

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* 2. 2021 - 2022 School Year
*Quarter 3 - Due by November 8, 2021
*Quarter 4 - Due by January 1, 2022
*Summer - Due by March 1, 2022

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* 3. 2022 - 2023 School Year
*Quarter 1 - Due by March 1, 2022
*Quarter 2 - Due by June 1, 2022

Please provide the following:
Please refer to the full program guidelines.

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* 4. Program overview including:
  • Explanation of need for afterschool program and how it will be addressed
  • Explain if you are identified by the USDA with a free and reduced lunch rate of 50% or higher
  • Program goals and objectives
  • Program description and components; program day/time, participant ages, etc.
  • Staffing structure
  • Program safety

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* 5. Program budget including :
  • Facility, maintenance, utility costs
  • Payroll costs
  • Supply costs
  • Any other anticipated costs
  • Total grant amount being requested

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* 6. Facilities Available:
Specify each room the program will have DAILY access to and include the number of children it can accommodate.

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* 7. Do all facilities specified above meet ADA accessibility standards for staff and participants?

Other Programs:

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* 8. Is there any other similar program(s) serving the proposed location?

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* 9. If yes, which organization(s)?

Miscellaneous:

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* 10. Will the program provide a daily healthy snack to participants?

Thank you for completing the ARPA Afterschool Program Grant Application!

Applications must be received by the due dates listed above and in the grant guidelines.

If you have questions, please email: pks.arpa@phoenix.gov

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