Instructional Support Grant Application

To Support The Youth Enrolled In Health and Wellness Programs

Instructional Support Grant Application

Step 1 of 3

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Educator’s Full Name:(Required)

First Last

Educator’s Email Address:(Required)

School where funds will be used:(Required)

Grant Proposal Details

Name of project to be implemented:

How will your implementation of this project improve student learning?(Required)

What steps will you follow to implement this project with your students?(Required)

What measurable goals will be used to determine this project’s effectiveness? How will those goals be measured?(Required)

How many students and what grade levels to be served with this grant?

Budget

Please detail items to be purchased and costs.
Applicants should round up figures to the closest dollar amount on the Total Cost.

Amount requested for this grant: (must not exceed $1000.00)

Item Number 1

Item 1 Vendor

Item 1 Description

Item 1 Qty.

Item 1 Cost

Item Number 2

Item 2 Vendor

Item 2 Description

Item 2 Qty.

Item 2 Cost

Item Number 3

Item 3 Vendor

Item 3 Description

Item 3 Qty.

Item 3 Cost

Item Number 4

Item 4 Vendor

Item 4 Description

Item 4 Qty.

Item 4 Cost

Item Number 5

Item 5 Vendor

Item 5 Description

Item 5 Qty.

Item 5 Cost

Item Number 6

Item 6 Vendor

Item 6 Description

Item 6 Qty.

Item 6 Cost

Total Funds Requested for Grant Proposal:

Upload Vendor Quotes (optional):

Drop files here or

Max. file size: 128 MB.

Instructor Signature:(Required)

Principal Signature:(Required)

Bookkeeper Signature:(Required)

Director of Technology/Designee: (only needed if the grant is for technology purposes)

* Please enter the appropriate initials in the signature boxes. By entering your initials, you are agreeing to the terms and conditions of this grant proposal as stated by The Education Foundation for Clinton City & Anderson County Schools.

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Instructional Support Grant Application