Mini-Grant Application Mini-Grant Application Applicant Name(s) * Applicant email and/or phone number School Building Name * Donald E. Schick Elementary Middle School High School Other If Other has been chosen, please specify Grade Level/Department * Date of Request * Project Title * Amount of Grant Money Requested * Expected start & completion date of the project: * Please offer a detailed description summarizing the project you are proposing. * What intended outcomes would you like to see from this project? * How are you going to execute the project? Please discuss methods, needed materials, resource personnel. * Who will benefit from this project? Explain how the mini-grant will provide a valuable experience for the intended audience. (Include the estimated number of students, grade level, teachers, parents, community people, etc.) * Please provide a project budget. Be sure to include all costs, including lodging, travel, meals, honorarium, etc. (Example: 6 “Learning to Read” Books ABC Book Company $33.00) * Do you have any other sources of funding for the project? * No Yes If Yes has been chosen, please describe below Is it the intent of the applicant that this be a recurring project in need of funds? * No Yes If Yes has been chosen, please indicate how you intend to fund the project in the future. EVALUATION - How will you determine whether your objectives have been achieved? (You will be required to write a one-page evaluation at the conclusion of your project.) * My grade level team leader/department coordinator is aware that I am submitting this mini-grant application. * --Please Select--NoYes My building principal is aware that I am submitting this mini-grant application. * --Please Select--NoYes Electronic Signature indicating that the information included in this survey is completed to the best of your knowledge and intent. * Loyalsock Township School District requires that the parties to certify the application by submitting an electronic signature. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. If you are human, leave this field blank.
