Grant Request for Art Projects

Presented by the Mira Mesa Women’s Club
Saturday, May 9, 2009, 9 am – 4 pm
Mira Mesa Recreation Center

Applicant’s Information:

Applicant Name: __________________________________________________

Mira Mesa School: ________________________________________________

Address: _______________________________________________________

Email: ___________________________  Phone: _________________________

Proposed Project Information:

Name of Project:   _____________________________

Short description of project, including venue, disciplines, outcomes, participants, etc.








Describe project materials needs:





Financial support requested from CHALK THE WALK!    $ ________________

Explanation of financial need:



I certify to the best of my knowledge that the information in this application is true and correct.  If selected, I understand that I am
responsible for providing documentation of the complete project, along with copies of receipts for materials.

Signature _________________________________        Date _____________

Grant winners will be announced in September, 2009.
Send this application, along with any supporting information by the end of June, 2009 to:

Mail to:                                                                                         For more information:
Mira Mesa Women’s Club                                                        Email:  mmchalkthewalk@yahoo.com
P.O. Box 26013                                                                           Louise Jeffris
San Diego, CA 92196                                                               858-274-7390
                                                                                                     Website:  http://www.mmwomensclub.com