The Wells Fargo Foundation Community Grant

The Wells Fargo Foundation Community Grant

The Wells Fargo Foundation Community Grant helps fund students' participation in high impact practices including research, study away, internships, independent study, student conferences and service learning. Students applying for funding must demonstrate financial need (defined by FAFSA standards) and the project being funded must be affiliated with an experience that will be registered for, or participated in, within the same academic year (i.e. pre-research during the summer that aligns to a fall independent study course).

This grant may award up to $450.00 per applicant. Award Criteria:

o Latino Students or First Generation o High Financial Need (defined by FAFSA standards)

Student Information:

Name: ______________________________

Student ID #: _________________

Requested Amount: ___________________ Semester in Which Funds Will be Used: _______________

Affiliated Course or Program: _____________________________ Semester of Course: _____________

Affiliated Faculty or Advisor Signature: ______________________________________

In addition to this application page, please submit the following for review: ? An overview statement of the experience you are requesting funds for. ? A complete budget showing other funding sources (including personal funds or departmental funds) that

will contribute to the experience and showing how these grant funds will be used. ? A copy of the approved experience application (study away application, internship application, program

registration etc.).

Disbursement of Funds: In the event I am granted funding I request the funds to be dispersed by way of:

o Check: I understand that this money will be dispersed as a check from the College to myself and

that I must claim it as income on taxes.

o Applied directly to campus program fee (untaxed) o Reimbursement: Receipts required (untaxed)

I also understand that I will have to provide receipts showing usage of the funds and that any unused funds will be owed back to the College.

______________________________ Student Signature

For Committee Use: Approved Amount: ___________________

____________________ Date

Request sent to Business Office on: _________________

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