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* 1. I am a:

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* 2. Name of principal or manager that you are collaborating with for this project

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* 3. Grant applicant's contact information:

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* 4. Target school or building

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* 5. Name of funding agency that is providing the grant

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* 6. What type of grant is this?

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* 7. Name of grant competition

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* 8. What is the amount of the grant request?

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* 9. Please provide a link to the grant website

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* 10. Please provide a brief overview of the grant proposal/project and include targeted groups (ex. grade levels, programs, clubs, etc.)

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* 11. Does this grant required a district match?  If so, please copy and paste the match requirements from the grant proposal into the box below.

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* 12. What will be included in the grant budget? (Check all that apply)

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* 13. The district's four long-term strategic goals are:
  1. Increase the high school graduation rate.
  2. Increase third grade reading proficiency.
  3. Increase percentage of students completed dual credit, concurrent credit, industry certification, or college and career readiness opportunities.
  4. Ensure that schools are trusted as safe places by students, staff, parents, and community.
Please explain how the proposed project aligns with one or more of these goals.

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* 14. If this grant is approved and awarded, what is required to be reported to the funding agency? (financial statements, receipts, performance reports, etc.)

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* 15. Please describe the monitoring plan to ensure the goals of the proposed grant are met

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* 16. Who is the person that will be responsible for the budget and reporting if required?

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