2011 MAMSE GRANT

APPLICATION FORM

Name of School_______________________________________Phone_________________________

Applicant's Name _____________________________ E-mail_________________________

Principal's Name _____________________________ District________________________

School Address_________________________________________________

City _________________________Zip ______________ County ____________________

***Please use additional pages when describing the components of your proposal***

***Limit responses to a paragraph or less per question***   ***Feel free to duplicate.***

1.    Project Title:  Summarize your proposal, in one sentence or less.

2.    Theme:  Identify the major theme(s) essential to successful middle schools your proposal supports.

3.    School Overview: Briefly describe your school's organizational structure (student and teacher population, teaming component, grade levels, extra-curricular offerings, etc.)

4.    Objectives: State the objective(s) of your project.

5.    Project Description: Describe specific activities designed to accomplish objective(s).

6.    Impact: How will this project enable or enhance middle level education within your school/district?

7.    Evaluation: Describe how you will assess whether your objectives were met.

8.    Budget: Attach a budget for your proposal and an explanation that specifies how you plan to use the grant funds.

_____________________________     _____    __________________________   ________

Signature of Applicant (contact person)              Date         *Signature of Building Principal                    Date

                                                                                                     *Denotes awareness and support of proposal

Send completed application to:         Alecia Powell                                        mamseoffice@mamse.org

 

 

                                                              MAMSE Office                                          Phone:  1-734-677-5678                                                            

                                                                1390 Eisenhower Place                            FAX:    1-734-677-2407
                                                                Ann Arbor, MI 48108
           

                                                         

                                           

APPLICATIONS MUST BE POSTMARKED NO LATER THAN JUNE 30, 2011

                                                     

                                                                               

 

 

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September 01, 2010