STEM CLASSROOM LABS AND GRANT APPLICATION TOOL

How many schools are included in this District application?

Provide a brief summary of your entire project. If you are proposing improvements in more than one school, include all schools in this summary. This summary will be used for communication purposes. - 100 words max.

Has your district secured the required private donation of cash, like-kind, or equipment in a value of no less than $100,000? NOTE: Donation must be secured prior to receiving grant funding.

If Yes, what is the value of the donation, date secured, and donation source?

Value:

Date:

Source:

Type of donation:

Cash (describe) -25 words max.

Like-kind (describe) -25 words max.

Equipment (describe) -25 words max.

Other (describe) -25 words max.

PROJECT INFORMATION

Multiple projects covering several schools are allowed.

Verify this project serves grades 9-12 Y / N

Select Proposed Project type –

New construction - addition to existing educational facility OR

Modernization or renovation of existing space

Square footage ______

Has your district experienced decreased enrollments of more than ten percent over the last five years due to inter-district transfers to schools with STEM facilities constructed or modernized in that same period of time.

If yes, proved data and evidence to support your claim. – 250 words max.

Describe the project for this school. – 250 words max.

BUDGET

Provide a brief budget narrative. – 250 words max.

Detailed budget WITH COST

Construction

Permits/inspections

Project management

FF&E

Utilities

Information Technologies

STEM Materials / Tools/ Curriculum

Total Project Cost

ADDITIONAL PROJECT INFORMATION

It is understood this project will use traditional public works (Design/Bid/Build). Please indicate here if the project will use alternative Public works.- 250 Words Max.

High Performance – Indicate which High Performance Building Standard you will use if applicable.

ESTIMATED PROJECT TIMELINE

Bid Date if applicable MM/DD/YY

Construction Completion date if applicable

EDUCATIONAL OUTCOMES

Number of students currently served by the existing lab space

Number of students that will be served by the proposed lab space

Describe limitations of current space or lack of current space as it pertains to graduation requirements (offering lab science classes consistent with SBE College and Career Readiness Graduation Requirements for the class of 2019 and beyond) and ability to meet the 2013 Washington State Science Learning Standards. -250 Words max.

Explain how the proposed improvements and materials will link with an instructional program consistent with Washington State 2103 Science Learning Standards, student achievement in science, including course and pathway, and prepares them for postsecondary opportunities to further their STEM learning and career pathways (include course titles and grade level of students to be served in the lab space).- 250 words max.

Describe the schools(s) current staff capacity (ratio of qualified science teachers to students) and ability to implement Washington State 2013 Science Learning Standards in the enhanced or new Lab science space OR demonstrated plan and budget to do so. - 250 words max.