EBRPSS Grant Intent Summary Form
Hello! Please complete and submit this form if you intend to apply for a grant that involves EBRPSS.
This form should be completed prior to the grant application submission.
Remember ~ if you get the grant, email the award letter to me to be placed on the Board Agenda.
Thanks for supporting EBR Schools!
For information or letters of support, please contact Suzanne Navo, Grants Department:
snavo@ebrschools.org
p: 225 922.5471
f: 225 927.7304
Instructional Resource Center, room 30 1022 South Foster Drive Baton Rouge, LA 70806
* Required
Email address
*
Your email
Applicant's last name
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Your answer
Applicant's first name
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Your answer
Is applicant an employee of EBRPSS?
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Yes
No
Required
Applicant's school / department
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Your answer
Applicant's title
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Your answer
Applicant's email address
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Your answer
Applicant's phone number
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Your answer
Granting organization
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Your answer
Granting contact information (website, phone, contact person, etc.)
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Your answer
Grant proposal title
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Your answer
Grant proposal request amount
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Your answer
Matching funds /in kind amount (if applicable)
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Your answer
Application deadline
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MM
/
DD
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YYYY
Award date
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MM
/
DD
/
YYYY
Project start date
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MM
/
DD
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YYYY
Project end date
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MM
/
DD
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YYYY
Project target grade(s)
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Pre K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Grade(s)
Pre K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Grade(s)
Project target(s)
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ELA
Math
Science
Social Studies
Art
Technology
Other:
Required
Briefly summarize the overall purpose of the grant and indicate how this grant will support your School Improvement Plan and/or District Strategic Plan.
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Your answer
Check all pertinent budget items included in project
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Technology hardware
Technology software
Maintenance agreements
Travel
Professional development
Materials and supplies
Facilities
Athletic Equipment
Other:
Required
If "other" was chosen, please describe:
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Your answer
*
The information provided accurately represents the intended project.
If funded, I understand that I should contact Suzanne Navo, Grants Dept. so that the item can be placed on the School Board agenda.
Required
Principal/Supervisor approval:
*
By checking this box, I certify that my principal/supervisor gives approval to apply for this grant.
N/A
Required
Principal/Supervisor Name - please write n/a if not a district employee
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Your answer
A copy of your responses will be emailed to the address you provided.
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