Vision Zero Grant Online Application

We are committed to safety. Do not participate in any project that will put yourself or anybody else at risk.

22-23 Vision Zero Grant Detailed Information

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Vision Zero Budget Form 2022-23

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Due date: November 18 (priority grant review); December 9 (final applications due)

Questions: Sheila Cozzie 406.444.7301, [email protected]

Grant Receipt Confirmation: Chapter advisers will be emailed within 24 hours of the grant application being submitted. If you do not receive a confirmation, your application was not submitted properly. Contact Tracey Newman ([email protected]) with grant submission questions.

Vision Zero Grant Application

Chapter Name*
School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
School Phone*
Chapter Adviser Name*
First Last
Chapter Adviser Phone*
Chapter Adviser Email*
School Clerk Name*
First Last
School Clerk Phone*
School Clerk Email*
Has your chapter received a Vision Zero Project Grant in the past?*
- Yes
- No
- Unsure
If you are awarded a grant, all funds should be directed to:*
- Direct to FCCLA Chapter
- Direct to School
We are applying to receive grant funds from the following sources:*
- MDT Contract Funds: National Highway Traffic Safety Administration
- GM Grant Funds
Identify Concerns*
What concern are you addressing with this project and why?
Set a Goal*
Write at least one SMART goal to describe what you will accomplish.
Form a Plan*
Address each of the following questions: Who is your target audience? What will you do? Why are you targeting this audience? How will you distribute the information or complete the project?
Act*
Address each of the following questions: Where will you complete the project? When will you complete the project? Who will be responsible for completing the project?
Follow Up*
How will you evaluate the effectiveness of your project? For example, if you are conducting a seat belt awareness project consider pre and post observational surveys or if you are conducting a social media campaign monitor your number of likes, etc. Is there any follow-up, such as thank you notes or responding to questions required?
Project Budget*
Use the excel file template provided.
Drop files here or

Max. file size: 50 MB.

Vision Zero Grant Application

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