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.
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.
Description of Experience: What will the students do and see?
Learning Objectives for the Experience
Please list 2-3 learning objectives.
Please select the class year (when they will graduate from 8th grade) from the drop down menu.
Class of 2020
Class of 2021
Class of 2022
Class of 2023
Class of 2024
Class of 2025
Class of 2026
Class of 2027
Impact: How many students will benefit?
Requested Amount & Itemized Expense
Please list all costs involved along with the total amount requested
Check(s) Payable To:
Please coordinate with your administrator. Checks will be delivered to Darren Strauch for pick up.
Additional Notes (Optional)
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