Master Application Gripp Grant Application for School Year 2019-2020 Master grants are given in amounts over $500. Please use Internet Explorer 9 or above, FireFox, Chrome or Safari to submit your application. Date* Date Format: MM slash DD slash YYYY Applicant Name* First Last Position*School Affiliation*Principal/Supervisor*Work Phone*Home PhoneEmail* Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 1. Describe your idea.*Include implementation plan, specific goals, length of project, and materials. If you are requesting equipment that already exists in your building, please explain your specific needs.2. What impact will this have on students? What educational needs does it meet in your classroom or school? What lasting impacts do you foresee?*3. What is the scope of your project? How many students will benefit from it?*4. What is innovative about this project?*5. How will you document the implementation of this project? Are you willing to mentor this program with another teacher after you have completed it this year?6. What resources will your school provide to help this project to be successful? (Think about equipment, instructional materials, and supplies.) Would parent or volunteer involvement help? Have you approached other groups for funding?7. What is the breakdown of expenses for your proposal?*Please include any supporting documentation, i.e. photos, videos, links (be specific what is to be reviewed if linking to a large amount of data), descriptions, etc. We cannot reimburse sales tax, so all purchases must be made through the District’s business office, or using the Foundation’s tax-exempt letter, available on this website. Click the plus sign at right to add another row. Please be sure to calculate and include any SHIPPING/HANDLING costs in your breakdown of expenses and list it as the next-to-last line. Please use the last line of this entry and provide TOTAL COST of your proposal.ItemsCost (please round to nearest dollar) Supporting DocumentationYou may include any links that contain information that supports your grant application. Be specific what is to be reviewed if linking to a large amount of data. Please send photos, videos, or any other supporting documentation to grippgrant@d39foundation.org. List other people involved in this grant. Principal/Supervisor CommentsPrincipal's SignatureActual signature must be included on completed application. May be submitted via email to grippgrant@d39foundation.org or sent via hard copy to the Foundation mailbox at the MEC.Digital Signature*Typing your name above serves as an authorized signature for your Gripp Grant application.