21st Century Teaching and Learning Grant Application - Part B

Due Date: November 2, 2009 by 5 p.m. 

 
District(s) Participating  
District(s):                
School(s):                
Grade/Age levels:     
Number of Educators:  
Number of Students Participating:
Number of Community Members:
Other Relevant Data: (optional)
Would you be open to collaborating on this project with another school/district considering similar work?   Yes    No
   
Project Title  
   
Contact Person  
Name:  
School Address:  
City, State, Zip  
Email Address:  
Phone Number:  
   
Executive Summary of the Proposed Project: (Will be shared with all participating partners and schools.  This section should be a paragraph in length.)

 
 
Description of the Project: (What? Who? Where? When? Why? Impact? Collaboration? - This Section should be 1-2 pages in length including the Executive Summary.)

 
 
Requested Resources:  Every proposal will be given consideration.  Please let us know how we can support your effort.  Examples of resources might include expertise, connections, local or online resources, or other assistance beyond financial resources.  If you need financial resources, let us know how we can support your effort, up to $2,500.
 

Resource/Budget Requests
Activities/Resources/Materials/Expertise/Connections Needed Amount Requested if Needed-If not needed, write N/A.
   
Project Outcomes and Measurable Results:  How will you measure the success and impact of the project?

 
 
Project Replication:  If successful, how could the project be replicated or next steps be sustained?

 
 
District and Project Assurances:  Please include the following in your application.
We agree to utilize any funds we receive in the manner and for the purposes we have outlined in our application.  We further agree to submit an expenditure report at the end of the project and to share our project and its impact at the 21st Century Teaching and Learning Regional Event on April 29, 2010.
I agree     Superintendent or Principal Name