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Complete this form online. Follow the instructions or answer the question given for each text box. If you make a mistake and wish to start over, just click the Reset button at the bottom of the form. When you are finished, click the Submit button at the bottom of the form to send the completed form to Nickie Weaver, Director of Grant Services. You will receive an acknowledgement via e-mail that your form has been received.

Has your campus administrator been informed that you are seeking funding for this project?

Yes No

campus information
Campus Name
Locate your campus in the drop down list and click on the campus name.
Campus Address:
 Enter your campus street address and ZIP code.
   

project leader information
Name:
 Enter the name of the person taking the lead role with this project.
Position:
 Enter the position of the person taking the lead role with this project.
E-mail Address:
 Enter the e-mail address of the person taking the lead role with this project
Address:
 Enter the mailing address of the person taking the lead role with this project.
Direct Phone #: Enter the direct phone number of the person taking the lead role with this project.

project information
Description of target population: Describe the target audience for the project, i.e. 4th-5th grade students, bilingual students, teachers, etc.
Will this project involve bilingual, ESL, or LEP students?
Yes No		 Will this project involve Gifted and Talented students?
Yes No
Will this project involve Special Education students?
Yes No		  

Enter the goals for your project. You may enter only 2 goals. If you have more than 2 goals, enter the 2 primary goals for the project. If you have fewer than 2 goals, leave the extra goal field blank.
Goal 1:
Goal 2:

Amount Requested:

Enter the amount of funding you are seeking.

How will the grant funds be spent?
(such as personnel, teacher stipends, substitutes, staff development, consultants, training, technology, travel, instructional materials, office supplies, etc.)

What problem / need will the project address?

Why is the project necessary?

What outcomes will the project produce?

What existing resources will the project require?
(such as school facilities, playground, cafeteria, textbooks, art supplies, computer lab, printer, telephone, etc.)

Does this proposal require matching funds?
Yes No		 Does this proposal request new personnel?
Yes    No
Does this proposal request travel?
Yes  No		 Does this proposal request staff development?
Yes   No
Does this proposal request technology?  Yes   No  
Additional Comments