Classroom/Special Project Grant Application

2011-2012

The following reference information is for office use only.  It will not be available to the Grant Committee.

Applicant’s Name:  ______________________________________ Date:  __________

Position and Grade:  ____________________________

Project Title: ___________________________________ Amount Requested: $___________

_______________________________________    ____________________________________

(Signature)(Principal’s Signature)

Grant requests are to be received at the Superintendent’s office no later than April. 1, 2012

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Please send your application to:

Hillsboro Public School Foundation

c/o Beth Johnston

Foundation Grant Request

20 Hawk Drive

Hillsboro, MO  63050

On separate paper, please respond to all six items listed below and attach to this form.  Please number each item.  To assure anonymity, do not use your name, your principal’s name or your school name in your proposal.  (Any proposals making reference to that information will be returned.)

1.  A one paragraph introductory summary.

2.  A description of the project including the following:

Educational objectives

Materials you will need

Methods you will use

Equipment requested--please note the quantity and current availability of that equipment in your building.

3.  A time schedule for implementation.

4.  The number of students who will be affected or impacted by the project.

5.  How you will determine the achievement of your objectives.

6.  Budget requests must  include the following:

Cost of materials needed.

Cost of equipment (if any) needed.

(Note that any equipment purchased through this program becomes the property of the Hillsboro R-III School District.)

Upon completion of the project, unused funds will be returned to the Foundation.

Budget evaluations will be required of all grant recipients upon completion of the project along with the final accounting of expenditures. 

Number:  _____________ (for office use only)