* Applicant Name

 

 * Position

 * School

 

 * Date

 

 * Email address

 * Telephone Number (including extension)

 

 * Project Title

 

 * Project Description - Clearly describe the project for which funds are requested.

 

 * CSIP - How does this project/program meet the goals of the district or building CSIP?

 

 * Goals & Objectives - What are the goals and objectives of this project?

 

 * Evaluation - How will you measure the success of the project?

 

 * What will this grant allow you to accomplish for students/school/district that is above and beyond what is currently being provided?

 

 * Student Impact - Identify which students and approx. how many will be affected and/or involved both directly and indirectly.

 

 * Summary - Provide a brief summary of this grant (2-3 sentences).

 

 * Budget - Provide an itemized budget. Include product/service, supplier, cost, etc.

 

 * Total Grant Amount Requested (Max. $500)