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SAMPLE APPLICATION

DECATUR COUNTY SCHOOLS FOUNDATION

Proposal for Academic Enrichment Grant

Candidates seeking an Academic Enrichment Grant must complete the following application.
All applications are to be typed and returned to the Decatur County Superintendent of Schools.
Proposals will be judged on the basis of need, feasibility, cost analysis and clarity of thought.

1.         Name: __Jane A. Smith___________________________________________

2.         School Name and Address: Bainbridge Elementary - 123 Podunck St.______

3.         Grade level(s) of department involved: __3^rd Grade____________________

4.         Number of students who will benefit: __18___________________________

5.         Amount requested for grant proposal: $_180.00_______________________

6.         Date beginning: ___3/15/01_________  Date ending: __3/15/01_________

7.         Your signature: _Jane A. Smith______________  Date: 3/5/01___________

8.         Principal’s signature of approval: Alma C. Jones________________________

Academic Enrichment Grant Proposal

Entire original application is to be signed and faxed to the Superintendent of Schools

Grant # _____

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