2016 DEER CREEK SCHOOLS FOUNDATION

GRANT APPLICATION

DATE:Click here to enter text.

TITLE OF PROJECT:Click here to enter text.

NAME OF SCHOOL:Click here to enter text.

TYPE OF PROJECT: Super Grant Teacher Grant

PRIMARY APPLICANT:Click here to enter text.

E-MAIL:Click here to enter text.

PHONE:Click here to enter text.

Amount of request:Click here to enter text.

Total project budget:Click here to enter text.

Project start date:Click here to enter text.Project end date:Click here to enter text.

Does this project supplement or replace an existing program/resource?YES NO

Explain:Click here to enter text.

  1. STATEMENT OF NEED

Define the nature and extent of the educational problem/need in your classroom or school that can be improved or changed with funding for your proposed project. [The need is NOT the item(s) that you want to purchase with grant funding.]Support this need with facts and evidence.

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  1. PROJECT DESCRIPTION
  2. GOAL(S) AND OBJECTIVES

Provide a broad goal(s) and specific objectives that arespecific, measurable, achievable, relevant, and time-based.

  1. METHODS
  2. WHAT-Describe the activities that will occur from the time the project begins until it is completed. These activities should align with your stated objectives.
  1. WHEN-Provide a timeline of the activities that will be implemented. This timeline should align with your stated objectives.Click here to enter text.
  1. WHERE-Describe the setting of where the activities will take place. This setting should align with your stated objectives.Click here to enter text.
  1. WHO-Describe the applicant(s) and the targeted audience (grade level/subject area, total number of students affected). The applicant(s) and target audience should align with your stated objectives.Click here to enter text.
  1. EVALUATION

Describe the methods for evaluating your stated objectives.

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  1. SUSTAINABILITY/LIFE SPAN OF MATERIALClick here to enter text.

Describe the long-term financial sustainability of the project (explain if your project is finite or capacity-building).

  1. BUDGET

Detail your Budget Request. Include specific information, such as, kinds of materials and equipment needed, sources of supply, and costs. Categories to be used could be items, such as, materials, equipment, transportation, honoraria, etc. ATTACH SUPPORTING MATERIALS OR ADDITIONAL SHEETS AS NEEDED.

Quantity / Description of Item to be Purchased / Unit Price / Total Price
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Total Amount Requested / Click here to enter text. /

Is software involved? YES NO

Describe upgrade availability and cost:Click here to enter text.

ANTICIPATED FUNDING AMOUNTS AND SOURCES

Deer Creek Schools Foundation:Click here to enter text.

Deer Creek Public Schools: Click here to enter text.

Other Funding Sources: Click here to enter text.

APPROVALS:

*Print the completed application and obtain the following approvals:

(NOTE: If you are requesting funding for technology, then obtain approval from the DC Chief Information Officer after your building principal but before the District Superintendent. All other requests only require approval from your principal and District Superintendent.)Failure to obtain the necessary signatures could delay or forfeit the review of your application.

PRINCIPAL YES NO

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Printed Name Signature Date

CHIEF INFORMATION OFFICER YES NO

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Printed Name Signature Date

SUPERINTENDENT YES NO

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Printed Name Signature Date

  • Applications aredue to the Deer Creek Schools Foundation in care of Deer Creek Schools, 20701 N. MacArthur Blvd, Edmond, OK 73012, no later than 4:30 pm, Tuesday, March 1, 2016.
  • Applicants will be notified of award via email on Thursday, March 10, 2016.
  • Invoices for items received with DCSF funding are due to the Deer Creek Schools Foundation in care of Deer Creek Schools, 20701 N. MacArthur Blvd, Edmond, OK 73012, no later than 4:30 pm, Friday, May 13, 2016.

For questions or concerns, please contact Tim Laubach, the DCSF Grant Committee Chair, at .

FOR OFFICIAL USE ONLY

DATE RECEIVED BY FOUNDATION ______

APPROVED FOR FUNDING: YES NO

Date: ______

Amount:______

Comments:______

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