Grant Request Application

PLEASE NOTE: This application is for Kettering, Ohio, school teachers only.

  • Applications must be submitted on or before April 10, 2017 for the 2017-2018 school year.
  • Your proposal must be submitted with this application form to be considered.
  • You will receive a copy of your proposal via email. All material becomes the property of the KEF and will not be returned.
  • Additional documentation that supports your application (word documents, presentations, etc.) can be sent as an attachment in a separate email to jprobasco61@gmail.com. The file name must include your name and school.
  • * indicates required fields that must be filled in to submit your application.

 

Project Information

 

*Project Title:
*Grant Type: New Grant ($1000 maximum for new grants)
Renewal ($500 maximum)
*Amount Requested: (Amount should equal budget total below)

 

Personal and Professional Information
*First Name (Teacher):
*Last Name (Teacher):
*Home Address
Suite, Apt No.
*City
*State
*Zip Code
*Home Phone (Teacher):    -
*Email:
*Principal's Email
*School:
Other:
*Grades you teach: K 1 2 3 4 5 6 7 8 9 10 11 12

 

*Main Subject Area(s):

 

Art
Career/Industrial Art
Computer Science
Handicapped/Learning Dis.
Language Arts
Health/Nutrition
Other

 

Math
Music
Phys. Ed.
Science
Social Studies
Special Category

 

Name/Phone of Additional Teachers:

 





 

Phone:
Phone:
Phone:
Phone:
Phone:

 

Project Description/Results

State as specifically as possible a description of your project, its purpose (needs, goals, objectives), where, when, and under what conditions activities will take place.

Please refer to the Kettering Education Foundation program guidelines for more information. Additional documents (word documents, presentations, etc.) can be sent as an attachment in a separate email to jprobasco61@gmail.com. The file name must include your name and school.


*Project Description:

 

What specific results will this project have for students? How will you measure these results?

*Project Results:

 

Budget
DO NOT INCLUDE TAX - we are tax exempt
  Item Description Cost
*1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
* Total 1-10: (Cannot exceed $1000 for new grants or $500 for renewals)

 

Describe additional materials, labor, or dollars which will be devoted to this project (e.g. donations, volunteer labor, other grants, school funds):
Item Provided By Estimated Value $
Total:

 

Certification

By affording my signature, I certify the following:

1. All information contained herein is true and correct.
2. We have reviewed this proposal.
3. The beginning date of this activity is * and the ending date is *

If the grant is awarded:

  • I will submit an interim report.
  • I will submit a summary report, accounting for all expenditures, no later than the last day of the school year during which the project is implemented.
  • I will reimburse any unspent funds to the Kettering Education Foundation.
4. I grant to the KEF the right to use this proposal and the results of this project, if funded, for public information purposes to help other educators or publicize the foundation and their activities.
5. I accept the decision of the Grants Committee.
6. I will submit to the KEF finished project description, letters of thanks, and photo documentation of finished project. I will submit this required information on or before March 1, of the following year.

This submittal will be automatically forwarded to your principal.

* I certify and understand

* Signature: (Typed name will suffice as signature)

 

 

 

Kettering Education Foundation

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www.ketteringeducationfoundation.org

Contact

Kettering Education Foundation
3750 Far Hills Ave
Kettering, Ohio 45429-2584

email: jprobasco61@gmail.com