Grant Application Form

For a printable PDF of this document, click HERE



Butterfly Effect Student Grant Application

Student (Leader)

Contact Information

Name

 

Email Address

 

 

Address

 

 

Phone

 

Student Collaborators

Name(s) and Grade(s)

1.

 

 

 

2.

 

 

 

3.

 

 

 

4.

 

 

Project Title

 

 

Inquiry Question

 

 

Approximate Dates of Project

Start Date

 

End Date

 

Project Description

 

 

Plan for Making it Happen

How do you plan on implementing the idea? What are the necessary steps or resources? To which channels will the funding be used, and how? (250 words)

 

 

 

 

 

 

 

 

 

 

Relevance

How does this idea support the learning community, and/or results for the learning community? (250 words)

 

 

 

 

 

 

 

 

 

 

Impact

Who will be impacted by the Idea? How many will be impacted? How will it benefit them? (250 words)

 

 

 

 

 

 

 

 

 

 

Reasons for Funding

Why is funding necessary for this Idea to come to life?  (250 words)

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor Reference

(letter of recommendation attached)

Name

 

Email Address


 

Break Down of Expenses

List Supplies/Materials/Equipment  

 

 

Cost

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Costs (travel expenses)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

More Expenses Add Lines

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount Requested

 

Total

 

$

 

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