Applicant Information

Applicant Name(s)	Grade and Position
School Building	School Phone
Home Address	Home City, State Zip
Home Phone	Email

Mini-Grant Information

Mini-Grant Title

Project Summary:

(1)Elaborate on your project. Describe the impact on your students and any other affected population. Describe your implementation plan, including an approximate project schedule. Include methods and necessary materials or other expenditures.:

(2) What are the educational objectives of this project? How will you determine that these objectives have been achieved?:

(3) Approximately how many students and what grade levels will be directly involved with this project? Will other students or community members be affected indirectly? Explain your numbers (e.g. 25 students present project to an audience of 80).:

(4) Detail your budget request. Be specific: special materials, honoraria, computer software, film, food, essential transportation costs, etc.

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