SCCTM Teacher Grant Application
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Email address *
First Name *
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Last Name *
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Mailing Address *
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Best Contact Number (use xxx-xxx-xxxx format) *
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SCCTM Membership Number *
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School *
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School Mailing Address *
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District *
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Title of the Project *
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Amount of Request *
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Grade Level(s) *
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Please inform your supervisor and district superintendent of your plans to apply for this grant. An email will be sent to them asking them to confirm that they approve of the submission. Supervisor's Email Address *
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Superintendent's Email Address *
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Project Narrative Section: For what problem area(s) is the project being written *
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Target populations: Whom will the project affect? *
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Project location: Where will the project occur? *
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Project activities: What experiences will the participants have *
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Timeline: What is the projected chronological sequence of major events?
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Anticipated outcomes: What is/are the hoped-for results? *
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Budget: Please include specific information regarding the cost for each item that will be paid for using grant money. Include equipment, supplies, stipends, transportation, substitute teacher contributions, consultant costs, etc. *
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Will the amount requested from the SCCTM totally fund the project or is this amount a supplement to another funding source? If additional sources are being utilized, please specify these contributions.
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This completes the SCCTM Grant Application. *
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