Navajo School Foundation

Applicant’s Name

/

Date

Home Address

Home Phone

/

Work Phone

Position

Project Title

Amount Requested $

Is your application a re-submittal requested by the Grants-to-Teachers Committee? Y N

Your signature below indicates you feel this project meets the criteria listed above and that to your knowledge funding from other sources is not available.

Signature of Applicant

Signature of Superintendent

Please return forms to your superintendent’s office. Once signed by the superintendent, the forms should be submitted to the Navajo School Foundation.

Grant applications for 2016-2017 are due December 2, 2016. Late applications will not be accepted.

Grants-to-Teachers Application

Applications must be typewritten or computer generated. If more space is required, please attach an additional page. Do not put anything on the back side of the pages.

PROJECT TITLE

BUDGET REQUEST $

  1. Give a summary of your project, including your objectives, a description of the materials you will need, and the methods you will use.
  1. What are the major needs your project addresses?
  1. Please detail your budget request. Include specific information such as kinds of materials and equipment needed, sources of supply, and cost. If you are requesting something out of the ordinary, please include a picture and/or description of it. Include shipping and handling expenses.

Item / Supplier / Cost
$
$
$
$
$
$
$
$
$
$
$
$
Total / $
  1. Give a time schedule of implementation.
  1. Approximately how many pupils will be affected (directly & indirectly) by this project?
  1. What grade level(s) will be participating in this project?
  1. How will you determine if your objectives have been achieved and if your project is successful?
  1. Have you solicited support for your project, equipment, and materials, etc. from the school? Explain.

If the grant is awarded, it is the responsibility of the APPLICANT to provide follow-up accounting to the Foundation.