Grant Application Please submit the application below, and we will contact you shortly. School & Funding InformationTeacher Name*Class SubjectSchool District*School Building*Address*City*State*Zip*Phone*FaxEmail* 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 ProposalLab/Tech ItemsItem name# of unitsCost per unitTotal cost Materials/SuppliesItem name# of unitsCost per unitTotal cost Buses (if needed)Item name# of unitsCost per unitTotal cost Other (be specific)Item name# of unitsCost per unitTotal cost Total Cost (sum of all items listed above):*Application VerificationTotal 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*EmailThis field is for validation purposes and should be left unchanged.