| Grant title |
A
short, descriptive, name for your project. |
| Names
on grant |
List
all grant applicants' names (primary applicant first). |
| Start
Grade, End Grade |
The
youngest and oldest grades to be helped by the grant.
|
| Amount
required |
Amount
requested for the project; maximum grant is $1000. Please round to the nearest dollar. |
|
Years of impact
|
How
many years will this grant have impact? |
|
Numbers helped
|
How
many students will benefit from the grant each year? |
| Principal |
Name
of the school principal. |
|
Date reviewed by principal
|
Date the
application was discussed with the principal (i.e. 10/1/00). |
|
Short summary
|
A
one-paragraph summary of the grant. |
| Key
Search Words |
A
list of categories to which the project will apply - for example,
"science, bugs, butterfly" - will be used for searching. |
| Goals
of the project |
Description of the goals and the scope of
the project. |
Applicability
to the teaching of science...
|
Explain how your project will
advance the goal of Partners In Education (PIE) to promote the
teaching of science, math and technology. |
|
How will purchased materials be used by students? |
Describe how the funds will be utilized to benefit
the students. Will the students receive direct or inderect benefit? Give a
rationale for materials. |
| How
will you evaluate the accomplishment of your
goals ... |
Explain the criteria or method
you will use to evaluate the success of the project. Be specific,
and focus on the direct impact to the students. |
|
Timeline for grant completion
|
Provide
a timeline. When the project will take place? How long will
impact and benefit students? |
| Itemized
budget |
Itemize the costs of required supplies
and materials. Please round all items to the nearest dollar. Total
must equal the "AMOUNT REQUIRED" field. |
| If
cost exceeds $1000 please describe other sources
of funding |
The
grant will provide a maximum of $1000.-. If additional funding
is required for this project, please list here how the additional
funds are planned to be acquired. |
| School
name |
The name of the school. |
| Street |
Street name and number. |
| City |
City. |
| State |
IN
|
| Zipcode |
Zipcode. |
| Phone |
The school's phone number, format: 123-123-1234
. |
| Fax |
The school's fax number, format: 123-123-1234
. |
| School
corporation |
The School Corporation to which your school belongs. |
| Prefix |
Mrs., Mr., Dr., Ms. |
| Name |
First name, middle name or initial,
lastname. |
| Street |
Street name and number . |
| City |
City . |
| State |
IN . |
| Zipcode |
Zipcode . |
| Phone |
Phone number in the following
format: 123-123-1234 . |
| Email |
Email address (optional) . |
| Title |
Professional title - doctor,
teacher, etc. |
| |
|