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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Cost: How much will be spent and for what? Please be specific. *
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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 Section: What is the total request? *
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What amount will be allocated for materials?
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Describe how these funds will be used.
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What amount will be allocated for supplies?
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Describe how these funds will be used.
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What amount will be be allocated for equipment?
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Describe how these funds will be used.
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What amount will be allocated for consultant services?
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Describe how these funds will be used.
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What amount will be allocated for stipends?
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Describe how these funds will be used.
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What amount will be used to reimburse for substitutes?
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Describe how these funds will be used.
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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?
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This completes the SCCTM Grant Application. *
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