Funding Request Form

To submit a request you must be a commissioned police officer of the St. Louis Metropolitan Police Department

YOUR NAME(S)*

DEPARTMENT/UNIT*

MAILING ADDRESS*

PHONE NUMBER*

Email*

NAME OF PROGRAM/EQUIPMENT FOR FUNDING*

PROVIDE A BRIEF DESCRIPTION AND THE NEED FOR THE PROGRAM/EQUIPMENT (USE ADDITIONAL PAPER IF NEEDED)*

HAS THIS PROGRAM/EQUIPMENT PREVIOUSLY BEEN REQUESTED THROUGH THE DEPARTMENT BUDGET?*

IF FUNDED, HOW WILL THIS HELP YOU IN YOUR CURRENT ROLE/POSITION?*

HOW CAN THE FOUNDATION EVALUATE SUCCESS IF THE FUNDING IS GRANTED? (# OF PEOPLE SERVED, OBJECTIVES REACHED, SURVEYS, ETC.) *

PLEASE LIST OR ATTACH A PROPOSED BUDGET, AN OFFICIAL QUOTE AND PHOTO*

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HAS YOUR COMMANDING OFFICER BEEN NOTIFIED OF THIS REQUEST? *