Grant Request Form

Ardsley Education Foundation Grant Request Form

* Indicates required field

Name *

First

Last

School/ Grade (s) *

Project or Item Title *

Amount Requested *

Date Item requested to be delivered *

Staff Involved *

Background & Description of Program

Please describe how you developed this project. How will impact the curriculum or enhance the educational experience of your students? Who is it needed? Please share any documents or brochures regarding this program *

Goals and Objectives

Expected Outcome *

How many students will it help? *

How many teachers will be engaged? *

In what grades are the students ? *

Can this be reused from year to year? *

Have you seen this project executed elsewhere? *

Will this grant have a long impact on the educational experience of those that have the opportunity to experience it? *

Activities and Timeframe

Please describe the major activities of the project and explain how the projects goals and objectives will be accomplished (e.g., purchase 5 microphones in summer 2017; instruct students in the use of the tools during fall 2017; engage students in professional level scientific exploration projects using the new tools by spring of 2018) *

Itemized Budget

Please provide a detailed budget quote, proposal for this project *

Is any other portion of this grant request being asked of another organization (e.g. PTA, Panthers) *

How will you inform parents, keep appraised about the project and the grant, if received? *

Agreed Terms of Use: I agree to supply the Ardsley Education Foundation (hereinafter "AEF") with a post-implementation one page evaluation 3-6 months after implementation. Requests for additional post-implementation evaluations may be asked for from time to time, including photos and student statements. By execution fo this form, the undersigned acknowledges that the AEF is merely funding the project and has no liability regarding the program, implementation and equipment, and the undersigned on behalf of the Ardsley School District, releases AEF and all of its officers, directors, and members and agrees to hold the same harmless from any and all loss, catastrophe and/ or injury in connection with the implementation of this grant.

Agreed terms of use: *

I agree

Submit