The Foundation for  West Hartford Public Schools

Grant Application 2010

Deadline: 12 noon, Thursday, April 1, 2010

IMPORTANT: You will not be able to save the application on-line. We recommend you type your application text into a ‘Word’ document that can be saved. When your application is finalized you can then ‘cut and paste’ the text directly into the application to submit online. You can also use this ‘Word’ document to submit your application to your principal for review prior to submission.

 

My principal or teacher liaison has reviewed this project.
Please type "YES" or "NO"       

If NO, do not complete the application.
Lead Applicant: Name of Applicant is required. Email:  Applicants Email is required. School: 
Applicant 2:   Email:   School: 
Applicant 3:  Email:   School:  
Applicant 4:  Email:   School:  
Applicant 5:  Email:   School:  
Applicant 6:  Email:  School:  

Lead Applicant
School Phone:		 Telephone number is required.
Name of Principal 
or designee:
Name is required.  
   
Project Name: Please enter project name. 
Do not include school name in "Project Name." School identification anywhere in the application except in the designated fields is cause for AUTOMATIC rejection of the application.
 
Mini Grant
 In Residence 		If In Residence, include contact information for the Artist in Residence NAME  
EMAIL  
TELEPHONE
Category:     Explain Other: 


# of Students 
 Benefiting:

 How many students will participate?

Grade Levels:

(check as many
 as apply)

Preschool
Kindergarten
 1st
2nd
 3rd

4th
 5th
6th
7th
 8th		   9th
 10th
 11th
 12th
 
 
Description:

 

  
 Briefely describe the project you want to implement in your school and its innovative qualities.  Detail what kind of activities will take place and how they will enhance learning.  
Please do not include names of teachers or schools.
  Please describe the project.

Goals:
Tell what you hope to achieve with this project. Make objectives measurable,
achievable and reasonable.
  What are the goals?

Time Line:
What is the time frame or sequence of events for the project? Be specific.
  What is the timeline? Be specific.

Evaluation:
How will you measure the success of this project?
  How will you evaluate success?

Amount from FWHPS not to exceed $2,000 for Mini Grant, $3000 for In-residence Grant.
Amount Requested
from FWHPS:		 Enter Amount Requested.   
Amount requested
from other sources:		 Enter 0 is no other money is being requested. Enter amounts requested from others.  If NONE, enter 0.

Budget Request:
Detail your budget request. Organize the budget items according to project activities.
Include kinds of materials and equipment needed, sources of supplies and cost.
Be specific. List all known expenditures and estimate expenses yet to be determined.
ENTER ZEROs in cells that do not apply.

Amount Requested from the Foundation should not exceed $2,000 for mini-grants and $3,000 for in-residence grants.
 
 
    $ AMOUNT DESCRIPTION
Books/Materials
Equipment
Supplies
Honoraria
Travel
Shipping
Mounting Equipment
Installation
Other
Other(2)
TOTAL  
Partial Funding: Would you be able to undertake this project with partial funding?    YES NO 
   
Grant Last Year:

If you had a grant last year AND did NOT submit a Final Report, please explain: 

I HAVE NOT APPLIED FOR MORE THAN 3 GRANTS.
 

              YES
NO 
I give the Foundation for West Hartford Public Schools the right to use this proposal and the results of this project for public information purposes.

A ‘NO’ answer will delay consideration of your application and you will be contacted by a Foundation representative.
   
YES
NO
I agree to submit a Final Report to the Foundation for West Hartford Public Schools upon completion of the project or not later than June 3, 2011. 

A ‘NO’ answer will delay consideration of your application and you will be contacted by a Foundation representative.
 
When you submit the application, you will see a confirmation form with all the information you provided.   You MUST print the confirmation form (it appears when you submit this form) and give a copy to your principal or teacher liaison.  ALSO KEEP A COPY FOR YOUR RECORDS. 
  You must notify your teacher liaison of the lead teacher’s name and the title of the grant no later than April 1, 2010.