Gigabit Community Fund Application

Please note, the items in red boxes are required.

Section A: Applicant Information Gigabit City

Austin Chattanooga Kansas City

Project Type Multi-City projects require the lead applicant to be based in KC, CHA or ATX

Curriculum Development Multi-Organization Multi-City

Applicant Organization Type of Organization Please upload documentation with your application in StartupCompete Tax ID Number For 501(c)3 or forprofit companies only Organization Website Organization Phone Number Organization Mailing Address City Zip Code

State

Organization's Mission (500 characters max)

Organizational Lead The person who would sign the grant agreement Title E-Mail Address

Phone Number

Project Manager The person who will lead the pilot described below for the organization Title E-Mail Address

Section B: Project Information Project Title (Max 5 words) The title should be easy to understand and provide an idea of what your project is about Project Summary (140 characters max) Create a tweet-length description of your project

Phone Number

Collaborators What organizations or individuals are involved in this project? Include a brief description for each partnering individual or organization, noting what contributions this organization or person will make to the project. Key partner organizations should submit letters of support in Section C.

Project Overview (2500 characters max) Describe your project, including where and how your project will be piloted in a live classroom or other learning environment. Please note that minimum pilot requirements depend on the project type as outlined on the project type chart on our website. Be sure to note whether the technology you’re proposing to pilot is already built or if additional development needs to take place. Gigabit Connection Does the location where the project will take place have an existing gigabit internet connection?

Yes No

If gigabit connectivity is not available, how will it be accessed for the project? Gigabit Advantage (1000 characters max) How does the technology you are working with leverage gigabit networks? How does your project contribute to building a national gigabit ecosystem? What new partners or voices does it bring in? What new connections does it make? How might it expand opportunity and access to gigabit technology? Learning Outcomes (1000 characters max) What will pilot participants learn? Who are these learners (age, neighborhood, etc.)? What specific community challenge in workforce development or education does your project help solve? Project Outcomes (1000 characters max) What does success look like for this project?

Previous Work with Mozilla (1000 characters max) Have you previously received a grant from Mozilla? If so, please list the amount, purpose, and outcomes of the grant. Open Work Summary (1000 characters max) Mozilla works in the open. How will you document and share your project progress with the community? Project Scalability (1000 characters max) How will you encourage other organizations to adopt this program? How might it be spread and scaled to other organizations or to other cities? Project Sustainability (1000 characters max) How will you continue this work beyond the pilot period? Are you contributing any matching funds to this program? If you’re hosting any workshops or events, are you charging for participants to attend them?

Challenges (1000 characters max) List any risks or challenges that may affect the overall success of your project, and note how Mozilla can help you to overcome these challenges.

Project Timeline Please document your timeline, noting that the pilot period is 16 weeks. Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12 Week 13 Week 14 Week 15 Week 16

Requested Funding Amount Maximum recommended funding amounts depend on the type of project being submitted. Project Budget Detail is important in noting how funds will be used. For each line item (such as teacher stipends, hardware, software, supplies), please include a justification (why you need this line item and how the funds in this line item will be used) and an exact dollar amount. If funded, please note that your budget may be modified at the discretion of program staff and of the local selection committee. Line Item

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Section C: Optional Supporting Materials Insert up to five links of relevant support material or resources which may help the selection committee better understand your project and its impacts. Examples include pitch videos, GitHub repository URLs, images, wireframes, prototypes, YouTube videos, letters of support, curriculum details, slide decks, etc. Though not required, letters of collaboration are strongly encouraged for key project collaborators. #1 Description

Link

#2 Description

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#3 Description

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#4 Description

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#5 Description

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Thank you! Next steps: please register on the StartupCompete site and then upload this application form.