Grant Application

Please be as detailed as possible. If you do not provide complete information, the grant process may be delayed while a representative from The Center contacts you for further information.


* Full name:
* E-mail address:

* Confirmed e-mail address:

* Phone number:
* Alt. Phone number:
* Organization:
* Title:
* Address:
* City:
* State/Province:
* Country:
* Zip:

* Description of study / project (be as detailed as possible):

* Age of participants involved in study / project:
* Number of participants involved in study / project:

* Goal of study / project:


* Length of study / project and appplicable timeline:


* Description of the research element of the study / project:


* Explain the tracking methods for the results of the study / project:


* If applicable, list the names of all Kolbe Certified™ individuals that will be participating in this study / project:


* Product or service request and quantity (i.e. 3 Kolbe A™ Indexes, 10 Kolbe Y™ Indexes, 6 months KolbeCore® software, 2 months Team Tactix® software, etc.):


* Additional information you would like The Center to know:

* Denotes a required field