Pana Education Foundation Grant Application Form
(Please Type)
Title of Project___________________________________
Budjet Request__________________________________
Number of Students to be served by this project__________________
Target Population: Subject_______________ Grade Level__________
In order for evaluation to be more objective, please do not mention your name in the written proposal.
Project Description-Give concise, but complete information (i.e. curriculum, proposed texttbooks, resources, etc.)
Goals & Objectives-What do you hope to accomplish? If applicable, list specific objectives as pertain to state goals.
Schedule of Activities-List a step by step timeline including beginning and ending dates of project.
Evaluation-How will you determine whether your objectives have been achieved and whether your project is successful? State specifically the manner in which you will determine the results of your goals and objectives.
(Please feel free to use additional pages for the four areas above, if necessary)
Detailed Budget Request: List each item separately with cost and source of item. (Guest speaker, transportation, materials, equipment, etc.)
Item Cost
Pana School District #8 Central Office Verification_______________Date_____________
For Foundation use only:
Date received _____________
Referred to Committee Chairperson yes no date________
Decision of trustees _________date__________
Applicant notified_________________by telephone / letter date_______
(attach copy of letter)
Trustee Remarks
________________________________________________________________
_________________________________________________________________
__________________________________________________________________
Signed______________________________date________________