By completing and submitting this form, I give consent for Great Lakes Energy Cooperative to take photographs and give permission for photos to be published as part of any publicity or media notice of the grant program, if I am selected as a grant recipient.

Make sure you have your school administration’s approval for the project(s) and this application.

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* Applicant's Name

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* Applicant's Title

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* School Name

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* School District

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* School Address

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* Contact Information

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* Specific Amount Requesting (up to $2,000)

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* In just a few words, briefly describe the project/program

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