The Saul & Dayee G. Haas Foundation

Below is our on-line school application for new Washington State Secondary public and private schools. Please note that even though this can be completed rather quickly, advance research is required. We strongly suggest that you review what is needed prior to completing so you don't get part of the way through and have to start over. And yes, either your principal or school superintendent must pre-approve of you applying for our funds.

This request has been approved by my school's principal.
(You must be able to check this box to qualify.)

I am willing to commit to managing my school's grant online and submitting a yearly report online by June 30th.
(You must be able to check this box to qualify.)

Primary contact name (Building Coordinator for Haas):
First name:

Last name:

Contact title:

Contact E-mail address:

Contact daytime telephone:

School name:

My school is a:
Public school Private school

This request is for a secondary school, and not a program within a school.
(You must be able to check this box to qualify.)

School district name:

School district number:

Educational Service District (ESD):

School address:

City:

State:

Zip code:

County:

Grades served: (Grades 6-12)

6th

7th

8th

9th

10th

11th

12th

Click here for the definition of "secondary school" adopted by the
Haas Foundation Board of Directors, May 2006.

Total enrollment for the building is:

Total enrollment for grades 6-12 is:

% of free and reduced lunch count is:
%

This is based on the enrollment data for the school-year:

Drop-out rate for 6-12 grades (we prefer a % figure of total student population):
%

Unemployment rate in our community is:
%

Other indicators of poverty or special considerations: (1000 characters or less, please!)

How did you hear about the Haas Foundation? (check all that apply):

Heap member

Haas Board Member

Haas staff member

another school

PTA

WASBO

Rotary

Web

Other:

What level of funding are you requesting?

Tell us why you need this level of funding: (1000 characters or less, please!)

I have read the Fiscal Management Guidelines (click here to review guidelines) and understand our staff member needs to attend a one time training (1 1 /2 hours) at the Haas Foundation Seattle office and our school will comply with the Haas Foundation guidelines and submit our on-line year- end report annually (prior to June 30):