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MBF Scholarship Application

Monique Burr Foundation Scholarship Application

MBF Scholarship Application

Thank you for your interest in the Monique Burr Foundation for Children (MBF) Scholarship Program. Scholarships are available to help eligible organizations implement MBF’s evidence-based child safety prevention programs.

Scholarship Award: Selected recipients will receive a one-year MBF subscription to support implementation of one MBF Prevention Education Program.

Name(Required)

First Last

District / School / Organization Type(Required)

Public School

Charter School

Private School

District / Network

Nonprofit Organization / Community-Based Organization

Other

District / School / Organization Name(Required)

Work Email(Required)

Work Phone(Required)

Role / Title(Required)

State(Required)

Please enter your state(Required)

Why are you interested in receiving MBF curriculum and how will it be used?(Required)

Are you willing to provide brief feedback or usage data if awarded the scholarship?(Required)

Yes

Other

Which curriculum are you interested in?(Required)

Child Safety Matters - PreK

Child Safety Matters (K - 5th)

Child Safety Matters+ (I/DD)

Teen Safety Matters (6 - 8th)

Teen Safety Matters (9 - 12th)

After-School Safety Matters

Athlete Safety Matters

Mental Health Matters

Estimation of your total student reach:(Required)

If your organization is not selected for a scholarship, would you like to be contacted to learn more about MBF's Prevention Programs and other partnership opportunities?(Required)

Yes

Is there anything else you'd like us to know?

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