Nele Needham Application FY17
Nele Needham Teacher Grant Application
Grant/Program Title:
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Grant Amount Requested ($):
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Lead Applicant Name:
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School:
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Grade/Subject:
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Additional Co-Authors (if applicable):
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Describe your program in two paragraphs or less. Please include why this program is needed at your school, specific program details and expected outcomes.
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Outline the program timeline.
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What is the number of teachers/staff that will be affected by your program?
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What is the number of students affected?
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What is your target population (ex. 5th grade science students)?
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How will you measure the program’s success?
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Explain in detail how your program supports the arts, culture, cultural events or children with special needs.
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Explain how your program will complement the existing school improvement plan or site goals.
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Please provide details on how you will assess the impact of your grant.
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Please provide detail on exactly how the requested funds will be used. Include what types of things need to be ordered (supplies, stipends, textbooks etc).
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If you have received any previous PCEF funding, please indicate the name of your program, date and amount.
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Which administrator has signed off on this grant?
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List any additional information needed to be considered for a Nele Needham Grant.
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