Request for Advance from the Common School Fund

Request for Advance from the Common School Fund

Contact Information

School Name*

Requestor Name*

Email Address*

Phone Number*

Prior Grant Award from Indiana Secured School Fund

Were you previously awarded a matching grant from the Secured School Fund?*

Select

When were you awarded a matching grant from the Secured School Fund?

Mark all that apply.

FY 2014

FY 2015

FY 2016

FY 2017

FY 2018

FY 2019

FY 2020

FY 2021

FY 2014 Total Amount Awarded

FY 2015 Total Amount Awarded

FY 2016 Total Amount Awarded

FY 2017 Total Amount Awarded

FY 2018 Total Amount Awarded

FY 2019 Total Amount Awarded

FY 2020 Total Amount Awarded

FY 2021 Total Amount Awarded

Have you spent all funds previously approved from the Secured School Fund for your budget(s) as submitted?

Select

Please explain why the funds have not been used.

Request for Advance from the Common School Fund

The advance from the Common School Fund will be used to improve school security through:*

Mark all that apply.

Purchase of Equipment

Capital Improvements

The equipment and/or capital improvements will be used to:

Mark all that apply.

Restrict Access to Schools

Expedite Notification of First Responders

Improve School Security

Is the request for an advance being used to supplement previously approved funding by the Secured School Safety Board?*

Select

Which previously approved project(s) are being used to supplement an advance from the Common School fund?

Mark all that apply.

FY 2014

FY 2015

FY 2016

FY 2017

FY 2018

FY 2019

FY 2020

FY 2021

FY 2014 Total Cost of Project(s)

FY 2015 Total Cost of Project(s)

FY 2016 Total Cost of Project(s)

FY 2017 Total Cost of Project(s)

FY 2018 Total Cost of Project(s)

FY 2019 Total Cost of Project(s)

FY 2020 Total Cost of Project(s)

FY 2021 Total Cost of Project(s)

Amount Requested for the Advance*

Detailed Explanation of Project*

Detailed Explanation of All Funding Sources*

Anticipated Timeline for Implementation/Completion*

Detailed Budget*

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