Etowah County School Foundation Grant Application for Teachers

 ECSF 
 
ETOWAH COUNTY SCHOOL FOUNDATION GRANT APPLICATION 

 Click here for a copy of the grant application.

I. Demographic Information

            First-Time Applicant

            Previous Applicant                              Date Last Applied

 

Teacher’s Name:                                                                                    Date:                           

 

Address:                                                                                                                            

 

School:                                                                                                                              

 

E-Mail Address:                                                            

 

Phone Numbers:                                                (Home)                                      (Work)

 

Grade(s) and/or Subject(s) Taught:                                                                                       

                                                                                                                                         

 

Title of Professional Development Activity:                                                                           

 

Total estimated expense of Professional Development Activity:                             

 

II. Grant Questionnaire (Limit responses to 150 words or less per question or statement.  Respond to this section on a separate page.)

 

1.)  Please give a brief description of the professional development activity. 5 pts.

 

2.)  How will this professional development enhance the method and content of your teaching? 25 pts.

 

3.)  How is this professional development activity related to your school’s improvement plan and personal professional development plan (PDP)? 15 pts.

 

4.) How will the proposed professional development activity improve student achievement, and how will you measure/evaluate this improvement? 20 pts.

 

5.) Identify in general terms the state course of study objectives addressed in this activity. 10 pts.

 

6.)  How, when, where, and with whom will you share what you have learned? 25 pts.

            

Certification:  I certify that I am authorized by the principal of the above-named school to submit this application: that all assurances and disclosures submitted with this application will be observed; and findings from this professional development will be shared at my home school as well as other schools in Etowah County System.

 

                                                                                                                                   

Date Signed                                                                        Signature of Teacher

 

                                                                                                                                   

Date Signed                                                                        Signature of Principal

 

 

2/1/11

ETOWAH COUNTY SCHOOL FOUNDATION

ESTIMATED BUDGET FORM

 

DATE:                                                     

 

RE:

EXPENSE INCURRED BY:                                                                                                                                           

TITLE:                                                                                                                                                                            

FOR (SPECIFY):                                                                                                                                                                                                                                                                                                                                                   

EXPENSES INCURRED AS FOLLOWS:

LODGING                                                                                                                                $                          

                                                (SINGLE ROOM RATE / RECEIPTS REQUIRED)

TRAVEL:

                                MILEAGE:                                                                                                $                            

                                                                          (51.0 PER MILE)

                                COMMERCIAL FARES:                                                                          $                            

                                                                   (ACTUAL EXPENSES / RECEIPTS REQUIRED)

*MEALS:

                                                                                                                                                $                             

                                                                      ($30.00 PER DAY)

                                LESS THAN ONE DAY TRAVEL:                                                            $                             

                                                                                                    ($10.00 PER MEAL)

MATERIALS:                                                                                                                            $                                

                                                                (RECEIPTS REQUIRED)

 

REGISTRATION FEE:                                                                                                                $                            

                                                                (COPY OF REGISTRATION FORM)

 

SUBSTITUTE:                                                                                                                            $                             

                                          (NUMBER OF DAYS SUBSTITUTE NEEDED)

 

OTHER:                                                                                                                                       $                             

                                                (RECEIPTS REQUIRED)

I, THE UNDERSIGNED, HEREBY CERTIFY THAT THE FOREGOING EXPENSE IN THE AMOUNT OF $      WAS MADE BY ME WITH OFFICIAL AUTHORIZATION OF THE ETOWAH COUNTY SCHOOL FOUNDATION. I FURTHER CERTIFY THAT SAID EXPENSE IS IN ALL RESPECTS JUST AND CORRECT AND THE PAYMENT THEREFORE HAS NOT BEEN RECEIVED.

                                                                                                                                                                                               

                                                                                                                                                SIGNATURE

                                                                                                                                                                                               

                                                                                                                                                TITLE

                                                                                                                                                                                               

                                                                                                                                                ADDRESS

                                                                                                                                                                                       

                                PRINCIPAL                                                                                               SUPERINTENDENT 


  
 
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