Foundation Grant
  
         
         
 
Grant requests must be received by no later then March 18
  
     
         
 
Applicant Name:
Date Submitted:
         
 
Telephone: (work):
Home:
 
E-mail Address:
    
 
Title of Grant Proposal:
   
 
School:
    
 
Curriculum Area:
    
 

 

    
 
     
       
Personnel:
      
:
  
:
  
 
__________________________________________
 
Name
Title
Signature
      By checking this box, you have agreed to electronically provide your signature.
This option only applies to online submissions. 
       
         
         
 
     
 
__________________________________________
 
Name
Title
Signature
      By checking this box, you have agreed to electronically provide your signature.
This option only applies to online submissions. 
       
         
 
     
 
__________________________________________
 
Principal
Principal's Signature
      By checking this box, you have agreed that your
principle has approved this grant request.
This option only applies to online submissions.
       
         
         
ALL PRINTED APPLICATIONS MUST BE POSTMARKED OR RECEIVED BY TUESDAY MARCH 18, 2008.
         
 
Grant Project Information
  
         
         
 
Describe the proposed project as it relates to the questions below.
 
         
         
         
1.
Please provide a brief summary of your project. (2-3 sentences)
         
   
   
   
         
         
         
2.

Describe your project in greater detail, including the following: who is your target audience for this project? How many students will participate in this project and how will they be selected? What educational needs does this project address? Identify the major goals and objectives you hope to meet and describe the activities you will implement in order to meet the goals and objectives. (40 points)
         
         
   
   
         
         
3.

Please provide a general timeline for completion. (10 points)

    
         
   
   
   
   
   
   
         
4.

Project success is measured through evaluation, how will you evaluate this project and report its’ success? (30 points)
         
   
   
   
         
         
5.

Keeping in mind the mission of the Foundation for Salem Public Schools and our goal to foster creativity, tell us how your project will help to promote the concept of lifelong learning and citizenship for participants. (20 points)
 
         
 
 
   
   
   
         
         
   
         
         
         
         
         
Proposed Grant Budget Information
         
         

Please itemize all costs associated with the grant request.
Please note - transportation costs are not covered.

         
         
         
  Material and Supply     Approximate Cost
     
         
     
         
     
         
     
         
 
 
         
     
         
         
         
  Contractual Services     Approximate Cost
     
         
     
         
     
         
     
         
     
         
     
         
         
         
  Equipment     Approximate Cost
     
         
     
         
     
         
     
         
     
         
         
         
  Other     Approximate Cost
     
         
     
         
     
         
     
         
     
         
     
         
     
         
      __________________________________________
         
  TOTAL FUNDING

Please take a moment to add your funding
   
FYI: The funding cannot exceed a total of $750
         
         
         
  Is the success of this project contingent upon other funding?
Yes
     
No
         
         
         
  If you have applied for funding elsewhere please list the name of the organization and the amount requested. (Please indicate outcome of request if known at this time)    
     
         
  Name     Amount
     
  Outcome      
       
  Name      
     
  Outcome      
       
         
         
  Has this project received previous funding from the Foundation?
Yes
   
No