Jared Polis Foundation: The Technology Mini-Grant Application

Please answer each question and return the completed application to . Email this completed application to Gina as an attachment and include your full name in the attachment title; this distinguishes your attachment from other applicants when Gina distributes the completed applications electronically to review committee members. If you have any questions about submitting this application, please email Gina or call her at 303-865-3980. The deadline for submission for the 2018 spring cycle is March 9thand the fall cycle deadline is November 9th. You will receive an email confirmation that your application has successfully been submitted.

Please keep your completed application to no more than 4 pages; the review committee will not read applications that are more than 4 pages. Please make certain you’ve read the guidelines on the technology mini-grant page at .

Teacher Name:

Teacher’s email address:

School Name:

School Address, City, State, Zip:

Grade/subject taught:

Percentage of students in the school qualifying for Free and Reduced Lunch:

1) Describe the technology purchase you will make if awarded this grant.

2) Describe how the requested technology will positively impact your lessons.How many students will be using the technology in your classrooms? If students are sharing the requested technology, please show how this will be done effectively in your class.

3) What is the cost of the technology purchase, include an itemized list and a total cost? (Please provide web address for the vendor that is selling the product; schools do not pay tax.)

4) Do you have access to other funds if the cost of the product/service exceeds the $1,500 grant award?And, if so, provide specific details on confirmed support.

5) Do you have existing technology in the classroom? Please describe the technology, how it is used, and the number of students who use it.

6) How will the technology interface with or enhance existing technology in your classroom?

7) Please describe in detail your training and tech support for existing technology and your training and tech support for requested technology.

Note: All awarded technology will be the property of the designated school if or when the teacher grantee leaves the school to pursue other employment

Note (2): We will include a final reporting requirement for each grantee to complete within six months after receiving the grant; report instructions will be included with the grant award.