SOMERS EDUCATION FOUNDATION             
Grant Request Form
PO Box 401, Somers, NY 10589
Telephone : (914) 277-2400    Fax : (914) 277-2409
www.sefny.org
Name (Primary Contact) *
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Position  *
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Date *
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DD
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School/Grade Level *
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Telephone *
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Email *
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TYPE OF GRANT *
Project Name/ Proposal *
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Overall Cost *
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This project and grant proposal was developed in partnership with (name other colleagues, peers, supervisors, community members, students, etc. involved in the proposal) *
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Please fill out the Grant Request Form completely.  Include any information in support of the grant-including links, pictures, diagrams, tec. that may aid the committee when considering your grant.

Proposals will not be considered without the signatures of the Principal and the Assistant Superintendent for Learning and/or The Director of Innovations in Learning.

Applicant's Name
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Grant Name
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1.  Describe your Project.  Include materials you will need and the methods you will use.
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2.  What is the main need or gap this project addresses?  Include why you think it is important and how it enhances the overall educational programs in the Somers Central School District.
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3.  Give a timeline for implementation
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4.  Approximately how many students will be affected by this project? Please explain how.
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5.  How many teachers will be affected? Please explain how.
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6.  Was funding for this project ever requested from SEF before? If so, was it approved?
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7.  Have any other funding sources been considered?  If so, please explain
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8.  How will you determine whether your objectives have been achieved and whether your project has been successful?
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9. Other Comments
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