SECTION ONE: GENERAL INFORMATION

Date:


Applicant's name:

Applicant's email:

Phone number:

School in project:

Grade level:

Number of students served by project:

SECTION TWO: TIMETABLE AND ACTIVITIES

Project beginning date:

Project completion date:

Chronological listing of plan and activities. Includes dates that indicate commitments, i.e. material orders, reservations, monies due.

SECTION THREE: PROJECT DESCRIPTION:

SECTION FOUR: PROJECT OBJECTIVES

SECTION FIVE: PROPOSAL EVALUATION (Indicate how you will evaluate the effectiveness of the project.)

SECTION SIX: PROJECT BUDGET

PTA will only reimburse those expenses actually incurred. Please list component, individual price and number of each.

Shipping and Handling

Total Funds Requested

Please include copies of catalog descriptions, prices and address of company.

As a applicant for this proposal, I agree to spend these funds only as approved or be willing to forefeit the funds. Also, I am a member of the MS/HS PTA.

You can attach up to 4 files to submit with the application:

Click on Submit Below to email completed form to Jill DePauw