On-Line Education Grant Application

To make it easier to complete this form, you might want to download the Microsoft Word application, so you can prepare your responses at your leisure. When you are finished, you can copy and paste the text into the appropriate fields below. The cover page still needs to be signed and mailed to GFFE.

	Project Overview
	Project Title:
	Grant Type:	Imagine Grant Student Action Grant Community Action Grant
	Project Applicant / Coordinator
	Name:
	Phone:
	Fax:
	Email:
	Agency / School Affiliation
	Agency Administrator, if different from applicant (name and e-mail):
	Other Participants (names and e-mail)
	Address:
	Phone:

	Anticipated Start Date:
	Expected Completion Date:
	Grant Request Amount $:
	Grant Proposal
	1. Please describe the project. Include the goals of the project, the learning needs addressed, the expected impact on students, and the project's activities.
	2. How many children will participate in the project and what are their grade/age levels?
	3. Explain how this project is innovative. If it is an enhancement of an existing program, explain how it builds on that program.
	4. Describe how this project could be replicated by another group.
	5. Provide a timeline for the project.
	6. Reflecting on the goals, how will you determine whether or not the project is successful?

Question 7a: Please provide an itemized budget for requested funds.
	Item Description	Item Cost

Question 7b: Please provide an itemized budget for in-kind donations or contributions from other sources.
	Item Description	Estimated Cost	Item Source

Comments:

After submitting your request on-line, you will need to print, sign and mail the signature page that will be displayed.