GRANT APPLICATION

APPLICANT INFORMATION

FIRST NAME:

LAST NAME:

MOBILE PHONE NUMBER:

LPS EMAIL ADDRESS:

PRINCIPAL FULL NAME:

PRINCIPAL LPS EMAIL:

ARE THERE ADDITIONAL APPLICANTS AS PART OF THIS GRANT REQUEST?

YES

NO

UP TO THREE (3) ADDITIONAL APPLICANTS MAY BE SPECIFIED AS PART OF THIS APPLICATION.

APPLICANT #2 - FIRST NAME:

APPLICANT #2 - LAST NAME:

APPLICANT #2 - MOBILE PHONE:

APPLICANT #2 - LPS EMAIL ADDRESS

APPLICANT #3 - FIRST NAME:

APPLICANT #3 - LAST NAME:

APPLICANT #3 - MOBILE PHONE:

APPLICANT #3 - LPS EMAIL ADDRESS

APPLICANT #4 - FIRST NAME:

APPLICANT #4 - LAST NAME:

APPLICANT #4 - MOBILE PHONE:

APPLICANT #4 - LPS EMAIL ADDRESS

PROJECT TITLE:

PROJECT DESCRIPTION:

INCLUDE YOUR OBJECTIVES, MATERIALS NEEDED, & METHODS USED TO IMPLEMENT. (MAXIMUM 5000 CHARACTERS)

PLEASE DESCRIBE HOW YOU WILL DETERMINE IF THE PROJECT OBJECTIVES ARE ACHIEVED SUCCESSFULLY?

(MAXIMUM 5000 CHARACTERS)

PROVIDE A SCHEDULE FOR THE IMPLEMENTATION OF YOUR PROPOSED PROJECT.

(MAXIMUM 5000 CHARACTERS)

APPROXIMATELY HOW MANY PUPILS WILL BENEFIT FROM THIS PROJECT?

GRANT AMOUNT REQUESTED: (IN DOLLARS)

PLEASE PROVIDE AN ITEMIZED BUDGET FOR YOUR REQUESTED GRANT AMOUNT:

(MAXIMUM 5000 CHARACTERS)

IF YOUR GRANT REQUEST CAN ONLY BE PARTIALLY FUNDED, WOULD YOU ACCEPT?

YES

NO

GRANT APPLICATION: DOCUMENT UPLOAD

UPLOAD DOCUMENT(S)

Maximum Five (5) Documents