Mini-Grant Program
For First- Second- & Third- Year Math and Science Teachers

Application Cover Sheet

Name:______________________________________________

Phone:__________________ E-mail:______________________

# of years teaching:__________________

Subjects taught:_______________________________________

Grade(s) taught:_______________________________________

School:______________________________________________

District:______________________________________________

Brief Description of Project:______________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

 

___________________________    _____________________________
  (signature of applicant)    (signature of school principal
                               or district curriculum director)

                               ______________________________
                             (printed name of school principal
                              or district curriculum director)