Walk,Bike & Carpool to School Grant Application, Eaton ElementaryCUPERTINO
City of Cupertino
Walk, Bike, and Carpool to School Program
.Grant Application
Thank you for your interest in encouraging students to walk, bike, and carpool to school. Please
return this completed form to Cupertino City Hall (Public Safety Commission, 10300 Torre Avenue,
Cupertino, CA 95014) and allow up to four weeks for a decision.
Applicant Information
Name: Conn 1 t, KO W i, Position: (7 (J�
Phone number:(*O-0)731,-�S59 Email: V01df—%Ont'11P,C CUsAK9.ofy
who to make the check out to: C(jt on PT -0
School Information
Name: EA t o n E I e rn C ill t S&I 0 u l Principal: C o 1'11') 1 t, UZ V c,
Address: 20220 ' 1 (
Phone number: (403) Z5 5 - 2 3 `i S
Program Information
Amount requested:
What will the WBC grant be spent on?
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Other funding sources (if any): —
Additional description of program (program dates, frequency, etc.):
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How much improvement is expected from the program? How will improvement be treasured?
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Applicant's signature: L) -u, iN CK dt�-'
Date:
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Please allow approximately four weeks for your application to be processed.
Questions can be
directed to Commissioner Tamara Pow at 408-839-8249.
Please do not write below this line
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Cupertino Public Safety Commission Comments: City of Cupertino Comments: Decision:
Decision: