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GRANT APPLICATION FORM

PROJECT AND CONTACT INFORMATION:

PROJECT AND CONTACT INFORMATION:

Name of Project:_______________________________________________________

Project Grade Level(s) and Subject Area(s) of Emphasis: ____________________________________

Amount Requested: $__________________    Estimated Total Budget: $___________________

Name of Teacher or Project Leader: ____________________________________________

School Building:________________________ Phone No. _____________

Project Leader Home Address: ___________________________________ Phone No. _____________

E-mail address: __________________________________

Name (or Proposed type) of Community Partner if applicable:_________________________________

Partner Contact: ______________________________________ Phone No. ______________

Collaborating Teachers and/or Community Partners: ________________________________________

________________________________________

PROJECT ABSTRACT:

PROJECT ABSTRACT:

Please attach a one or two paragraph project summary.

PROJECT NARRATIVE:  

Please attach a description of your project (no more than 3 pages, preferably typewritten), including information regarding how the project addresses the evaluation criteria. (Need Help? See Guidelines.)

BUDGET:

BUDGET:

Please provide an itemized list of all materials, consultant or other fees, equipment, transportation costs, etc. necessary to complete the project using the format below. Attach additional sheets as necessary.

Teacher or Project Leader Signature: ________________________________________________

Community Partner Representative Signature if applicable:_______________________________

School Principal Signature: ________________________________________________________

Date Submitted: ______________________

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