Apply for Grants — Play It Forward

School / Organization Name

Contact Title

Email

Address

Number of children served

Number of families served

Ages or grade level of children served (please note, priority is given to elementary age students)

Percentage of students qualified for Title 1

Does your school have any Special Education classrooms or programs? Please describe.

Is there a full time PE coach on staff or do classroom teachers provide PE instruction?

How are students encouraged to stay active during recess and lunch?

How are recess and lunch sports monitored?

What programs are currently in place to promote students' physical fitness?

Describe your playground facilities.

Are there other playground supplies not listed that your school needs?

Do you have adequate space to store the supplies when not in use? How is it secured when not in use?

How do you envision your school using the Play It Forward donation?

Would your school be willing to participate in a brief post-delivery evaluation process to ascertain how the Play It Forward donation improved the opportunity for physical fitness in your students?

Would our student volunteers be able to deliver the equipment to your school?

Is the school administration willing to be involved with publicity efforts for Play It Forward, such as participating in media interviews and allowing cameras to film or photograph your facility?

Will you be willing to provide Play It Forward with signed copies of photo consent forms, granting permission that photos taken during a Play It Forward delivery may be used on the Play It Forwards website and other social media new stories?

How did you hear about Play It Forward?

Is there anything else you would like us to know about your school or this application?