Teacher Grant Application | Shoot For A's

Grant Application

Please submit the application below, and we will contact you shortly.

School & Funding Information
Teacher Name*
Class Subject
School District*
School Building*
Address*
City*
State*
Zip*
Phone*
Fax
Email*
Assistance requested for (check all that apply):*
- Field Trip
- Class Project
- Lab/Tech Equipment
- Supplies
Briefly describe the educational purpose for which you seek funding:
Education Goals coinciding with your purpose (list up to 3):*
Education Concepts/Illinois Learning Standards to be addressed (list up to 3):*

Specific Budget Proposal

Lab/Tech Items

Item name	# of units	Cost per unit	Total cost

Materials/Supplies
Item name # of units Cost per unit Total cost
Buses (if needed)
Item name # of units Cost per unit Total cost
Other (be specific)
Item name # of units Cost per unit Total cost
Total Cost (sum of all items listed above):*

Application Verification
Total amount of grant money requested:*
Date fund needed:*
MM
DD
YYYY
Duration of funded purpose (week, month, etc.):*
This request must have Superintendent approval*
- This application has been reviewed and approved by the Superintendent.
Superintendent Name*
Superintendent Phone*
Phone
This field is for validation purposes and should be left unchanged.