Grant Application - Eau Claire Public Schools Foundation

Cover Sheet
Grant Title
Applicant
Staff Position
School
Email
Home Phone
Cell Phone
Amount Requested ($)
Timeline
- Fall
- Spring
- Entire School Year
- Summer
Select One
- New Grant Proposal
- Addition to a Current Project
- Replacing Past Grant
Please Note
Deadline is September 30, 2017. All applications must be pre-approved and signed by the principal/building administrator. Electronic submission of a signature is acceptable. Awards are governed by the established policies, and award decisions will be made by the ECPSF Board of Trustees at their October meeting. For more information, please contact Sarah French at (715) 852-3015 or at sfrench1@ecasd.us.
Building Administrator/Principal Name
First Last
Signature of Principal*

By signing this electronically, you certify that your principal authorized this electronic signature.
Date
Signature of Applicant*

By signing this, you certify that this is your authorized signature.
Date

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All Schools Grant Application 2017-18
Title
Grade Level
Subject Area
Number served directly by this grant.
Total Amount Requested
Project Type (Click all that apply)
- Classroom Grant
- School Site Grant
- Supplies
- Technology
Is this part of a larger project?
- Yes
- No

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Please complete the following prompts:
Write a brief paragraph describing your project:
How does your project address the grant goals (mission/vision of district; value-added; greatest need and equity; motivate and inspire students)?
How does your project enhance learning? How does it address a special need or problem facing your school, classroom, and/or students?
How will this funding affect your program/classroom/teaching if you do not receive funding at this time?

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Please list all necessary materials, equipment, or services needed to support your project.
Include the total quantity, the supplier of the product, and the amount it will cost.
Materials/Equipment/Services 1
Quantity 1
Supplier 1
Amount 1
Materials/Equipment/Services 2
Quantity 2
Supplier 2
Amount 2
Materials/Equipment/Services 3
Quantity 3
Supplier 3
Amount 3
Materials/Equipment/Services 4
Quantity 4
Supplier 4
Amount 4
Materials/Equipment/Services 5
Quantity 5
Supplier 5
Amount 5
Total Expenses

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Please list all sources of Revenue
Include the source, whether it's proposed/pending, and the amount requested for each.
Source 1
Proposed/Pending? 1
Amount 1
Source 2
Proposed/Pending? 2
Amount 2
Source 3
Proposed/Pending? 3
Amount 3
Source 4
Proposed/Pending? 4
Amount 4
Source 5
Proposed/Pending? 5
Amount 5
Total Revenue
Revenue-Expense*
You will not be able to advance to the next page unless your Expenses and Revenue match up.
Total Expenses from previous page

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Cover Sheet