Please use this form to apply to participate in the New York Life After-School Initiative. To learn more about the initiative you can download the brochure (1.7MB) or the project catalog (6.9MB). We will contact you to discuss your specific interests and needs, provide information on how to order program materials, and answer any other question you may have.

For more information contact:
Megan Green
Manager of After-School Programs
Developmental Studies Center
800-666-7270, ext. 289

Deadline for submission: March 20, 2008. Participating sites will be notified by April 15, 2008.

All fields must be filled out.

Name of organization:


Number of after-school sites:


Contact name:


Title:


Address:


City:


State:


Zip Code:


Phone:


Email:


Average number of students served per site:


We plan to purchase AfterSchool KidzLit Materials: Yes No
If yes, for:
grades K-3
grades 3-6
grades 6-8

We plan to purchase AfterSchool KidzMath Materials: Yes No
If yes, for:
grades K-2
grades 3-6

We commit to sending two or three staff members from each participating site to the two training workshops.
Yes No

We serve a high percentage of low-income children, and would like to be considered for additional (50%) matching funds.
Yes No
(Please understand that only a limited number of matching-fund grants are available.)