fauquier excellence in education foundation

TEACHER GRANT REQUEST
Please complete the form and submit online or send to Janelle Downes, FCPS Human Resources, 320 Hospital Drive, Suite 34, Warrenton, VA 20186 no later than February 28, 2017.
Ask your principal to complete the Principal Recommendation Form and forward it to Ms. Downes in separate sealed envelope on or before March 3, 2017.
Your application will not be considered without the Principal Recommendation Form.

section 1 - Applicant Information

Name: Click here to enter text. / Phone: Click here to enter text.
Preferred Email Address: Click here to enter text.
Current Physical Address: Click here to enter text.
City: Click here to enter text. / State: VA / ZIP Code: enter text here

section 2 - Education

Degree(s) (B.A.,M.A.,etc) Click here to enter text.
College/University: Click here to enter text. / Year(s) Conferred: enter text
Awards/Recognition/Honor’s:Click here to enter text.

section 3 – TEACHING EXPERIENCE

Present Assignment (School):Click here to enter text.
Number of Years Teaching: (include current year): Choose an item. / Number of Years Teaching in Fauquier Co (include current year):Choose an item.
Current/Past Grades:Click here to enter text.
Current/Past Subjects: Click here to enter text.
Do you intend to teach in Fauquier County next year? Choose an item.

section 4 - Personal / Professional Information

Briefly describe why you chose teaching as a career. (50 words or less)
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fauquier excellence in education foundation

TEACHER GRANT REQUEST
Briefly describe why you continue to teach. (50 words or less)
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Briefly describe your most significant teaching accomplishment. (100 words or less)
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section 5 - fellowship award intentions

Describe the program/course (100 words or less) in which you would like to participate. Attach a registration form; program itinerary/schedule showing name, dates, location; and credits or certificates if applicable. The registration form and itinerary/schedule must be attached or the application will be returned as incomplete. If these materials are not readily available, send what is available and submit the rest as soon as possible before the February 28, 2017, deadline.
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Do you plan to attend this course/program whether or not your receive grant money: Choose an item.
Do you plan to attend this course/program if you receive only partial funding: Choose and item
Have you received an FEIEF (EIE) Grants in the past? Choose an item. If so, What years? Enter Years

estimated cost

Type / Cost
Travel (Indicate land or air) / Click here to enter text.
Lodging / Click here to enter text.
Meals / Click here to enter text.
Registration/ Tuition / Click here to enter text.
Materials / Click here to enter text.
Other (describe): / Click here to enter text.
TOTAL / Click here to enter text.

other participants

If you are not the only teacher applying for the same course/program, please include the names of other teachers who will participate. (Each teacher must submit an application and required materials)
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section 6 – ADDITIONAL INFORMATION

If there is any additional information that you feel should be considered with your application, please detail them below.
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Signature

Please remember to attach materials requested in Section 5.
Signature of applicant: Click here to enter text. / Date: enter a date.