Application Form

Voting Period

Winners will be notified by phone and e-mail

September 25
- October 15

In order to be considered, organizations must:

Complete the entire form

Demonstrate a need for technology that can enhance
educational efforts

Upload proof of tax exempt status

Qualifications
Applying organizations do not have to be a Windstream customer or be physically located in the Windstream service footprint to
apply or be selected. While faith-based organizations are eligible to apply, Windstream cannot award funds to educational
programs that promote or teach specific religious beliefs. Applications must be endorsed by the organization. Finalists must demonstrate that they serve Iowa residents in counties in the Windstream service area.

Application Form

Leaving this page before completing the form may result in lost information

School or
501(c)(3) Name

District Name

Contact
First Name

Contact
Last Name

Telephone

Address

City

State

Zip

Your E-mail

*Required
*image file types accepted: .jpg, .png, .gif and .pdf only

Upload Photos

Please provide 5 to 8 photos that best illustrate your program. Please use only photos that can be published for public viewing.

If you encounter a problem uploading your tax exempt form or photos, you can send them to windstream.educonnect@windstream.com

1/10

Approximately how many individuals are served by this program per year?

2/10

What age range does your program serve?

3/10

What cities or counties in Iowa are served by this program?

4/10

What is the mission of your organization?

50 characters minimum, 350 characters maximum

5/10

Describe the specific curriculum in need and how technology would be used to enhance education.

50 characters minimum, 700 characters maximum

6/10

How would your organization make use of a $15-$25K donation?

[Be as specific as possible about the technology desired, its application and benefit and cost to purchase]
50 characters minimum, 1,000 characters maximum

7/10

How do you measure and describe the impact this program has on the community?

50 characters minimum, 1,000 characters maximum

8/10

Please list your current sources of funding for technology used toward education.

Include all grants, donations, etc.

9/10

Please describe any unusual circumstances that demonstrate a critical need for donations.

10/10

Please upload documented proof of tax exempt status.*

* Required
*image file types accepted: .jpg, .png, .gif and .pdf only

If you encounter a problem uploading your tax exempt form or photos, you can send them to windstream.educonnect@windstream.com

The organization is willing to assist Windstream with promotional advertising or media coverage regarding the donation.

Assistance would involve allowing the organization’s pictures to be posted online, allowing distribution of information about the organization to Iowa residents and Windstream employees, and being available for photos and interviews.

Finalists will be notified the week of September 10.
Only complete applications will be accepted.