Instructional Support Grant Application

Date submitted:

Educator’s full name:

Educator’s email address:

School where funds will be used:

Name of the project to be implemented:

How will your implementation of this project improve student learning? *

What steps will you follow to implement this project with your students? *

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

How many students will be served with this grant? *

Amount requested for this grant: *

Budget

Please detail all items to be purchased and their costs with grant funds should this grant be awarded for this project. If you have quotes from vendors please complete information below and attach the vendor quotes to the application.
Applicants should round up figures to the closest dollar amount on the Total Cost.

Vendor	Item Description	Qty.	Total Cost






Total Funds Requested for Grant Proposal:

Upload Vendor Quotes (optional):

Instructor Signature: *

Principal Signature: *

Bookkeeper Signature: *

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

* 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.