Quarterly Grant Request Form

Quarterly Grant Request

The primary objective of the Friends of the Library of Hawai‘i is to maintain free public libraries in the State of Hawai‘i, to promote extension of library services throughout the State of Hawai‘i, and to increase the facilities of the public library system of Hawai‘i by securing materials beyond the command of the ordinary library budget.

A. Contact Information

Choose your Library Section(Required)

Please select your Branch(Required)

Please select your Section(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Request Made By:(Required)

First Last

Title/Position(Required)

Request Date(Required)

Work Email(Required)

Work Phone(Required)

B. Request Information

Clearly state the purpose for the request and how your request will benefit your library and/or patrons:(Required)

Have you submitted a similar request to the State?(Required)

Yes

If "No", why not? or if "Yes", why was funding not provided? Explain below:(Required)

If you have a local Friends group, have they been approached for the request?(Required)

Yes

No Local Friends

If "No", why not? If "Yes", why didnʻt they provide full or partial coverage? Explain below:(Required)

Provide a complete description of materials/equipment to be purchased, if any (include size, model #, color, etc.):(Required)

Source of materials/products (include name of company and/or person, address, and phone number):(Required)

Provide a brief description of the program/project (include name(s) of person(s) who will be receiving compensation for their participation):(Required)

Date Funds Needed(Required)

Date of Program/Project If Different from the Date Above(Required)

Total Cost of Materials (Including shipping, handling, assembly, etc.)(Required)

Total Cost of Program (Include compensation, travel, honoraria, etc.)(Required)

Total Cost

This is auto-calculated based on your inputs above.

Total Amount Requested from Friends of the Library of Hawai‘i(Required)

Approvals

1. Once you press submit, a copy of this grant request will be sent to Friends of the Library of Hawaiʻi, to your email, and, depending on the total request amount, the form will auto-send to your section head (>$500) or the State Librarian (>$1,000). If you are not the Branch Director/Manager, your confirmation email must be forwarded to them for approval. Approval emails may be sent to admin@FLHhawaii. org: Please see the guidelines on the previous page for more information on the approvals process. 2. Once approvals are received, the grant request will be reviewed by the FLH Executive Director. If the grant request is approved, an email confirmation will go to the requesting librarian and they will be asked to confirm the payment instructions. A check(s) will then be issued and sent out based on the payment instructions. 3. The requesting library branch must submit to the FLH office any receipts or any documents, such as W9 (for performers/contractors), to support the grant request.

CAPTCHA

Quarterly Grant Request Form