2019-2020 AGATE Affiliate Grant Application
With AGATE Affiliate Membership comes the opportunity to apply for a grant up to $500. This grant is designed to directly benefit gifted and talented students within the affiliate and school or district represented. Each AGATE district may be awarded up to one grant. A committee will decide the recipients of the grants and winners will be notified prior to the annual AGATE conference.

The AGATE districts are represented by the following counties.
District 1 Counties (Northeast):
Searcy, Stone, Cleburne, Fulton, Izard, Sharp, Randolph,
Lawrence, Clay, Greene, Craighead, Mississippi, Poinsett,
Independence, Jackson, Woodruff, Cross, and Crittenden

District 2 Counties (Central):
Van Buren, Conway, Faulkner, White, Yell, Perry, Pulaski
and Saline

District 3 Counties (Northwest):
Polk, Scott, Logan, Sebastian, Crawford, Franklin, Johnson,
Pope, Washington, Madison, Newton, Benton, Carroll,
Boone, Marion, Baxter

District 4 Counties (Southwest):
Montgomery, Garland, Howard, Pike, Hot Springs, Grant,
Clark, Dallas, Little River, Hempstead, Nevada, Quachita,
Calhoun, Miller, Lafayette, Columbia, Union, and Sevier

District 5 Counties (Southeast):
Prairie, St. Francis, Lonoke, Monroe, Lee, Arkansas,
Phillips, Jefferson, Cleveland, Lincoln, Desha, Bradley,
Drew, Ashley, and Chicot

The deadline for submitting applications is December 3, 2019. Please print a copy for your records prior to submitting. All questions may be directed to Monica Meadows at mcmeadows@ualr.edu
AGATE District *
Affiliate Group *
Your answer
School and School District represented *
Your answer
Email address where you may be contacted *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
County *
Your answer
Contact Person *
Your answer
Phone *
Your answer
Describe the program, activity, workshop, etc. for which the $500 grant money will be spent. Explain the need for the program and its value for gifted students. *
Your answer
Provide a budget summary that describes how the $500 will be spent. *
Your answer
Explain how the gifted students and/or their products will be involved in the program. *
Your answer
Give the date(s) for the proposed activity. *
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