Program and Classroom Grant Application

ETA

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service learning grants - program and classroom grant application

Service Learning Program and Classroom Grant Application.docx
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File Type:	docx

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basic information

In order to be eligible to participate in the Service Learning program and/or be eligible for a classroom grant of up to $500, teachers must submit this form no later than 4:00 PM on September 12, 2014. Data may not be saved into this form online. It is recommended that applicants prepare responses separately and copy and paste them into this form. To assist teachers with preparing responses, an MS Word version of this application is available for download above.

Name *

First

Last

Email *

School *

Subject and Grade *

Are you currently a member of the Evansville Teachers Association? *

Yes No

Please indicate the training session you attended at Youth Resources. *

January 2014 August 21, 2014, 4-7 PM

project details

Please provide clear and concise answers to each question.

Project Title *

What is the goal of the project? (50 words or less) *

Describe the project. (200 words or less) *

How will students be engaged in planning the project? (50 words or less) *

Provide a timeline for the implementation and completion of the project. *

How will this project help the community? What community problem or need is the project addressing? (100 words or less) *

Approximately how many people will benefit from this project? *

List the academic standards addressed in the project. Please include both the number and the full text of each standard. *

Are you requesting classroom grant funds to assist with the implementation of this project? If so, complete the project budget portion of the application below. *

Yes No

Important Note: If your project requires students to leave school, be sure to get administrator approval prior to your submission.

project budget

Funds awarded through this program may only be used for expenses, such as materials and transportation, which are associated with the service-learning project detailed above.

What is the total cost of the project? *

Have you requested funding from any other sources? *

Yes No

If so, please list the sources from which you have requested funding. *

Have you received or do you anticipate receiving any donations related to this project? *

Yes No

If so, please list the donations you have received or that you anticipate receiving. *

Upload a detailed budget. *

Max file size: 20MB

Submit

Evansville Teachers Association
701 John Street
Evansville, IN 47713

Office Phone: 1-800-382-4037
Office Fax: 812-426-2748
Office Email: eta@evansvilleta.org

Ext. 3403 - President Michael Rust
                    317-263-3403 (direct)
president@evansvilleta.org
Ext. 3765 - UniServ Asst. Cindy Carpenter
                    317-655-3765 (direct)
                    eta@evansvilleta.org
Ext. 3766 - UniServ Director Mark Lichtenberg
                    317-655-3766 (direct)
                    mlichtenberg@ista-in.org