FRIENDS OF PLEASANT BAY

PO Box 1243, Harwich, MA 02645

 

APPLICATION FOR COMPETITIVE GRANTS

ACADEMIC YEAR 2012-2013

 

Name: ___________________________________________________________________________

                                                                Last                                                        First                                        Middle Initial

Local School: _____________________________________________________________________

 

School Address: ___________________________________________________________________

                                                                Street                                                      Town                                      School Phone #

Course/Grade Level: _______________________________________________________________

Home/Cell Phone ____________________ and email __________________________ 

 

 

Brief statement of proposal, including the discipline involved:

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Please attach additional sheets to detail your proposal.  Show how the proposal meets the stated PURPOSE. 

 Be as specific as possible (Number of students involved, additional personnel and equipment needed, etc.) 

 Include a budget for the proposal; i.e. How will the grant money be spent?

 

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Applicant’s Signature                                        The proposal described above is

                                                                                    consistent with local school policy

 

                                                                                    ______________________________

                                                                                                Principal’s Signature