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Click here to download this application as a Word document
v Application must be typed.
v
Applications for $1,000 or more
will require a presentation to the Board of Directors.
The Board may request a presentation for applications that are less than
$1,000.
v
Applications are reviewed with the
following criteria in mind: prospects
for success; number of students/schools that will benefit; clear objectives, a
timeline, and a way to evaluate success; ability to be replicated by other
classes/schools; realistic cost; uniqueness/innovativeness with sound academic
principles in a recognized field of study; positive exposure for the Foundation;
encouraged community involvement; benefit to improving teacher quality.
v
Applications will be reviewed
quarterly. Please submit by the following dates: Oct. 1, Jan. 1, Apr.
1, or Jul. 1.
v Photo Release: Your signature on this application grants permission to the Foundation to use your photograph(s) in any fundraising or informational materials.
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Submitted
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Date |
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Phone # |
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Email |
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School |
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Amt.
requested |
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Grade |
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Teacher |
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# of
pupils involved |
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Date of
requested project/activity |
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A.
Funds are requested for the
following:
B.
The educational value of this
request is (see criteria listed above):
C.
This request fits into the
school’s curriculum and objectives as follows:
D.
If you are aware of a business or
individual who might be interested in funding or partially funding this project,
please provide information so we may contact them:
Please
attach a copy of the plans and pre- and post-activities which will support this
request along with a detailed expense
sheet. The following signatures
must be acquired in the order given:
1.
Signature of applicant _________________________________
Date ___________
2.
Principal’s approval ___________________________________
Date ___________
Principal:
Please forward to Dr. Johnson after your approval
3.
Administration approval _______________________________
Date ___________
Administrator:
Please submit by fax: 434-385-0429 or by mail: 110 Vista Centre Sr. #4,