Teaching Grant Application

Applications should be submitted online via this form no later than October 2, 2015.

Grants may be used for any grade level, K-12, during the 2015 - 2016 school year.

Questions should be directed to Sherrie Braslin, West Elk Mine, 970-929-2303.

* required field

Applicant Information
    
* Applicant Name:  
* Home Street Address:  
* City, State, Zip Code:  
* Home Phone:  
* Home Email:  
    
Co-applicant Information
    
Co-applicant Name:
Home Street Address:
City, State, Zip Code:
Home Phone:
Home Email:
    
School Information
     
* School Name:  
* School Mailing Address:  
* City, State, Zip Code:  
* Your School Email:  
* Grade(s) Taught:  
   
Please complete the outline below to describe your project. Please limit your response to approximately 150 words per question.
   
* Project Title:  
   
* Detailed overview of the project: 
* What is the goal of this project?: 
* Why do you think there is a need for it?: 
* How will students benefit from participating?: 
* What grade(s) will this project benefit?: 
* What is the timeframe of this project?: 
* How many students will be participating?: 
* Will this project be implemented in future years?: 
* How will you measure the project's success?: 
     
Project Budget
     
* Expected total cost of the project:  
* Amount requested:  
Funding source of balance, if applicable:
    
List in detail the budgeted dollar amount of each expenditure:
     
* Item description:  
* Amount:  
     
Item description:
Amount:
     
Item description:
Amount:
     
Item description:
Amount:
     
Item description:
Amount: