Experiential Learning Application
Complete this form to use Jog-a-Thon funds for your class (needs to include the entire grade level). The proposed activity must be an extension of your students' academic or social goals (no food parties, unless directly associated with the learning activity) and give students a hands-on experience. Please submit at least 2 weeks in advance to allow time for approval and payment.
Email address *
Your Name *
Your answer
Date of Experience/Activity *
If classes will be going on different dates, please enter the earliest date here then list the other dates in the additional notes below.
MM
/
DD
/
YYYY
Description of Experience: What will the students do and see? *
Your answer
Learning Objectives for the Experience *
Please list 2-3 learning objectives.
Your answer
Class Year *
Please select the class year (when they will graduate from 8th grade) from the drop down menu.
Impact: How many students will benefit? *
Your answer
Requested Amount & Itemized Expense *
Please list all costs involved along with the total amount requested
Your answer
Check(s) Payable To: *
Please coordinate with your administrator. Checks will be delivered to Darren Strauch for pick up.
Your answer
Additional Notes (Optional)
Your answer
Submit
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