Promoting student engagement in school sponsored and extracurricular career skills training programs, with a goal of expanding the availability of technical skills and other life skills curriculum in educational environments.

The SBI Pegasus Award Program contributes to the potential for student’s success in their career pathways through our gift of financial support, up to $10,000. The SBI award may be used to purchase equipment, supplies, and other foundational essentials to support qualified programs. Our annual award selects from eligible programs based on student engagement, career opportunity advancement, and other student success related criteria.

Program Name:

Select One:	New Program	Existing Program	School Name:

Program Advisor or School Representative:	School District:

Name:	Website:

Email:	Your Name:

Phone:	Your Role:

School District Location:	Washington	Oregon	Arizona

Program Description (50-150 Words):

What is the potential number of students positively impacted by this program?

What grade levels will this program be open to?

How often do students meet for this program?

Within each school year, how long does this program run?

What is the funding amount ($10,000 Maximum) you are requesting? $

What career and technical skills does this program focus on developing?

Briefly describe the activities, components, and goals of the program. What will be accomplished?

For existing programs: How long has the program been in place? Describe any growth, success, and hurdles that you’ve experienced:

What is the need or opportunity which this program is fulfilling for your students and community?

How is your community involved in this program, including instructors, parents, and other businesses?

What is your plan and vision of growth for this program in subsequent years?

How is your program’s success evaluated? What measures are used to document the program’s accomplishments?

How would the SBI Pegasus Award money be spent? How will it advance your program? What will the individual program components, materials, or other impact items cost? Provide an itemized budget if possible.

Please provide additional comments or information that may be of benefit in our evaluation of your program:

I am authorized to represent the program, school, and school district indicated within this form. I certify that the information provided within this application form is true and accurate. Any awards made by SBI will be utilized strictly toward the benefit of the students and program identified within this application.

Signature:	Date:

A typed name constitutes a signature.

Print Name: