Please fully complete this application. Additional guidance is available: https://wsac.wa.gov/sites/default/files/FY2024.ContraceptionVendingMachineGrantGuidance.pdf
Applications will be accepted until 5:00pm, March 1, 2024. Complete applications will be reviewed on a rolling, first come/first served basis. Grants will be awarded in order of submittal of complete and acceptable applications, based on the date/time stamp of submittal, until all funds are exhausted. WSAC encourages earliest possible submission for best chance of receiving available grant funds.
1. What is your institution? *This question is required.
2. Who is your Project Point of Contact?
3. Who is your Grant Signatory (the person who would sign the contract for your institution)? *This question is required.