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2008 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 alecia@ucia2.com
MAMSE Office 1-734-677-5678 3300 Washtenaw Ave, Suite 220 FAX 1-734-677-2407 Ann Arbor, MI 48104
APPLICATIONS MUST BE POSTMARKED NO LATER THAN JUNE 30, 2008
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