Webform The Southeast Coalition for Roadway Safety’s Executive Board has approved the purchase of car seats to promote the importance of occupant protection and child safety. Health departments, hospitals, and other organizations with Certified Child Passenger Safety Technicians in south central and southeast Missouri are eligible to apply. The Coalition will provide both convertibles and high back boosters through this grant. There must be a guarantee from your organization that the car seats will not be distributed without being properly installed by a CPS Technician. Additionally, we will follow-up with organizations receiving the child safety seats to find out how many have been distributed throughout the year. While we cannot guarantee the purchase all requested quantities, we do hope to help as much as possible. Active participation with the Southeast Coalition for Roadway Safety may increase your chances of receiving car seats donated to your organization. Please provide below your projected quantity needs for the 6 months. This grant process is open March 1- March 29. Questions? Contact Southeast Coalition for Roadway Safety Representative Ashley Metelski, 573-380-9432 or Ashley.metelski@modot.mo.gov *- indicates required fields Contact Information Contact Information* Name* Agency/Organization Name* Email* Phone* Address* City/Town* State/Province* - Select -AlabamaAlaskaAlbertaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNewfoundland and LabradorNew Brunswick New HampshireNew JerseyNew MexicoNew YorkNorthwest Territories North CarolinaNorth DakotaNorthern Mariana IslandsNova Scotia NunavutOhioOklahomaOntarioOregonPalauPennsylvaniaPrince Edward Island Puerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingYukon ZIP/Postal Code* On average, how many convertible car seats are given out per year? On average, how many convertible car seats are given out per year?* On average, how many high back booster seats are given out per year? On average, how many high back booster seats are given out per year?* Number of convertible car seats requested. Number of convertible car seats requested.* Number of high back booster seats requested. Number of high back booster seats requested.* List all current Child Passenger Safety Technicians at your agency.* List all current Child Passenger Safety Technicians at your agency.* List any campaigns, car seat check events, programs, community/school events, presentations or any other outreach efforts you have participated in to promote roadway safety in your area.* List any campaigns, car seat check events, programs, community/school events, presentations or any other outreach efforts you have participated in to promote roadway safety in your area.* Guarantee Yes, I can guarantee that my organization will only allow granted car seats to be properly "installed" by a CPS Technician. "Installed" meaning the CPST would teach the parent how to properly adjust the harness, teach them how to install the seat in their vehicle, provide information as to which location in the car may be best for the seat, uninstall the seat and then have the parent install it. This takes away the liability of the CPST, as the parents should be the ones to put the product in before they drive away. No, I cannot guarantee that my organization will distribute car seats without being properly "installed" by a CPS Technician. Leave this field blank