CHARAC School District Grant Application

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Email *

Teacher’s Name

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Teaching Domain

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School District Name *
School Mailing Street Address *

City, State, Zip Code

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School Phone # *
School email address *
Type of Grant Requested *
Grant Amount Requested *

Approx. # of students involved in request

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What is the intent of the grant request?

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List the specific goals and objectives for the students served by the grant

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How does this request enhance the student’s current curriculum?

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Time frame for project (start and end dates):

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Art Category
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Project Expense Detail – complete materials list with aprox amounts pertaining to the project request *
Number of Buses with total expense amount
or provide total mileage with total fuel expense amount
Artist in Residense Hours/Days with expense amount
Printing Expense - list items to be printed, quantity and expense amount
Other Expense, Please list with expense amount
Grand Total of Project Expenses

Other Information that will help CHARAC understand the need for your request

After submitting this application fell free to submit any additional documents/photos or information to: cablehaywardarts1996@gmail.com or mail to: CHARAC, P.O. Box 1012, Hayward WI 54843 in support.

Will more documentation be sent?
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Important:  If approved, you will be asked to report back to the CHARAC board on your experience within 60 days after the event.  This is expected to be a brief description of the benefits to you and your art gained by attending the event.  Reports may be emailed or mailed to the address above.

A copy of your responses will be emailed to the address you provided.
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