Apply — The Interchange Foundation

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Grant, Scholarship, and Assistance Information and Application

Please mark which grant, scholarship, or assistance you are applying for. You may apply for multiple. For example, as a student, you may apply for a scholarship (for tuition, fees) and benevolent assistance (for housing, food, clothing).

Educational program grants ($500-$5,000) – Funding for the operation of STEM-C education programs hosted by a third-party provider. Preference is given to those programs that can demonstrate active recruitment of women and/or minorities. Funds to be used for any program related costs including: materials, instructor salaries, licensing requirements or marketing.

Scholarships ($500-$5,000) – Funding for education tuition and fees; paid directly to the educational institution. Applicant must be 18+ years of age at the time of enrollment in a STEM-C program. Acceptable programs may include those offered at a college, university, tech school, trade school or certification program located in Tennessee, which actively seeks to prepare an individual for a STEM-C career. Applicant must be enrolled in the program.Recipients are eligible for scholarship renewal on a case-by-case basis.

Benevolent Assistance ($500-$5,000) – Funding for additional needs (i.e. housing, food, utilities, books) of students enrolled in a STEM-C program. The Interchange Foundation will reimburse qualified expenses. Applicant must be 18+ years of age at the time of enrollment in a STEM-C program. Acceptable programs may include those offered at a college, university, tech school, trade school or certification program located in Tennessee, which actively seeks to prepare an individual for a STEM-C career. Applicant must be enrolled in the program.

Grants to Businesses ($500-$5,000) – Funding for women and minority-owned qualified businesses* to engage in educational opportunities (i.e. joining trade associations, attending seminars/workshops, completing continuing education courses, etc.) in order to increase their capacity to enter the marketplace. The Interchange Foundation will reimburse qualified expenses.

Direct Program Activity – Mentoring, coaching, and workshops for women and minority-owned qualified businesses* and those individuals seeking to start a business in STEM-C.

All applicants complete this section:

Name

Address

Phone

(###)

###

####

Gender

Male

Female

Education History

high school, college, trade school, honors, awards, etc.

Work History

company, position, employment dates, duties, etc.

Complete sections A, B, and/or C based on the type of assistance your applying for.

A. Scholarship AND/OR Benevolent Assistance Applicants ONLY

Total Household Income:

Most Current GPA:

STEM-C Educational Institution Name:

STEM-C Degree or Program Name:

STEM-C Degree or Program Description:

Program Duration

Annual Program Cost

Scholarship or Assistance Amount Requested:

If you have been awarded other scholarships or grants, please list the award names and amounts:

B. Business Grants AND/OR Direct Program Activity Applicants ONLY

Name of Business:

Number of Years in Business:

Industry:

Applicant’s Percentage of Ownership in Business:

If applying for a grant, amount requested:

If applying for Direct Program Activity, what kind of mentoring, coaching or workshop does your business need?

If applying for Business Grants, what is the intended use of these funds?:

C. Educational Program Grant Applicants ONLY

Educational Program Sponsor:

Target Program Audience (students, adults, location, etc.):

Describe your educational program:

How long has your program been active?

Grant amount requested:

What would this grant be used for?