Grants Application Form

Fairfield SEPTA Grant Application

Please ensure you have read through all the Guidelines and completed your membership before applying. Non-members will not be considered.  Incomplete or missing information can delay your request.

    Your Name (required)

    Your Email (please use your


    Position or Title

    School(s) receiving funds select all that apply

    Is this a joint application? yesno

    Co-Applicant Name

    Co-Applicant Email

    Project Title

    What is the nature of your project?

    *if other please expand here

    Project Objectives (please be specific)

    How many of those with special needs will be served by or benefit from this project?
    1-1011-2525-5050-100100+District Wide

    What is your timeline?Immediatewithin 3 MonthsAnytime

    Are there other funding sources for this project? yesno

    Has this project been approved by your administrator? yesno

    Budget requested (up to $500) please include breakdown of expenses

    Is there anything you would like to add or any special considerations?