ICE/IEI BOOK GRANT APPLICATION FORM
Thank you for your interest in receiving a book grant from ICE/IEI. This grant is available to qualified Canadian charities with literacy programs serving children in need. To help make your application a success please review the information and links here.
Please complete and email this form to by Nov. 15, 2009. Late applications will receive a much lower priority but will be considered on an individual basis.
NOTE: The data you enter below may cause items to shift to new lines or pages. Don’t worry about trying to maintain the formatting of the original document.
Date:
CONTACT INFORMATION
Organization Name:
Contact Person Name:
Contact Person Title:
Email Address:
Website:
Bus. Phone:
Res. Phone:
Cell Phone:
Fax:
Street Address:
City:
Province:
Postal Code:
Charitable Registration Number:
If your Charitable Registration Number is for a parent organization, please provide:
Parent Organization Name:
Contact Person Name:
Contact Person Title:
Email Address:
Website:
Bus. Phone:
Res. Phone:
Cell Phone:
Fax:
Street Address:
City:
Province:
Postal Code:
Charitable Registration Number:
DONATION REQUEST
To Review Books Online please click on Online Books
1. We have available 22,000 copies of The Boy Without a Name in boxes of 100. How many boxes are you requesting?
You may also request 1 box (100 copies) of 1 or 2 of the titles below. Supplies are limited.
The Clever Boy and the Terrible, Dangerous Animal
The Silly Chicken
The Farmer’s Wife
The Man with Bad Manners
The Man and the Fox
Neem the Half-Boy
2. If ICE/IEI is unable to fulfill all or part of your book requests above, will you accept copies of some of the other titles as substitutes?
3. Will you sign and return delivery receipts for the books you receive?
4. Your feedback and willingness to publicize ICE/IEI can help us offer more books in the future. Are you willing to provide the items below by April 30, 2010 or specify a date when you can?
a. Send us an official letter of thanks on your letterhead.
b. Acknowledge our book donation with the ICE/IEI logo and URL in your publicity and/or on your website.
c. Complete a short online survey after collecting sufficient feedback from staff and families. Here’s last year’s survey for reference: Survey
d. Mail us thank you letters and/or work samples related to the books from the children. We would also appreciate any photos of children working with our books. Will you attempt to obtain written permission for us to publish, or post them online? A permission form is available at Permission Form.
YOUR ORGANIZATION
1. Please briefly describe your organization:
2. What are its goals?
3. Who is served and where?
4. How long has your program been active?
5. Describe any successes, especially measurable outcomes that demonstrate the effectiveness of your program:
6. Without receiving books from ICE/IEI, what reading materials are available to the children you serve?
PROGRAM INFORMATION
1. Briefly describe the programs in which the books will be used. Please be sure to mention who will participate, what activities will be included, and the materials you or your families may use to help get the most from our books. These are critical considerations in determining who receives our limited supply of books. If the books will be used in more than one program, please estimate how many copies will be used in each.
2. Would any of our support materials be helpful to you? For details, click on Teaching Materials
If so, which would you use and how would you use them?
THE FUTURE
1. Can you envision an ongoing relationship with ICE/IEI? Can you think of other ways we might work together?
2. Are you interested in discussing joint applications for grants or other fundraising opportunities with our ICE/IEI fundraising coordinator?
Who could we contact about this?
Name:
Tel:
Email:
3. Please list any other literacy organizations you are aware of that might be interested in receiving books from ICE/IEI:
ICE/IEI Book Grant Application Form: Page 2 of 4