PCM 2018-2019
Email address *
Pelham School *
Name of Club *
Club start date *
MM
/
DD
/
YYYY
Club end date *
MM
/
DD
/
YYYY
Teacher Grants & Incentives *
Year *
Name of facilitators *
Salary Cost Calculation (Total Hours x $27.50) *
Planning Time Calculation (Total Hours x $27.50) please explain. *
Note: Planning time cannot exceed 1/2 of the hours of total club time. Planning time appropriation is up to the discretion of the PCM committee.
Supplies Cost Calculation *
Total Cost Calculation *
Project Summary *
In one paragraph, please accurately describe the purpose, goals, and activities of your project.
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