Instructions
1.  Application must be submitted by the grant cycle deadline.
2.  Any grant not fully completed will not be considered.
3.  Submit using this on-line application or print this form and mail to:
      MPPEF, PO Box 5, Midland Park, NJ 07432
4.  Once reviewed, applicants will be notified by MPPEF of acceptance approximately three weeks after the deadline
5.  The Grant Committee Chairperson will coordinate fulfillment of the grant with the applicant.
6.  Classroom grants must be fulfilled within one year of grant award.
7.  Special extension of time may be considered.
8.  Applicant must submit a grant evaluation to the Grants Committee no later than 30 days after the completion and /or implementation of the grant.

A. General Information

Teacher Name: 

Date (mm/dd/yy)

School:  The Godwin School Highland School MPHS       Grant Cycle:  Fall 2011

Grade Level: 

Number of Students to Benefit:           

Title: 

Amount Requested:           

B. Grant Proposal

Objective:  What is the goal of the project?

Summary:  Describe Grant. Please include activities, procedures and names of experts participating in Grant if applicable.

Evaluation:  How will you assess student learning?

Proposed Budget:  Please provide a detailed budget.  If technology based please contact Carol Treta for vendors, pricing proposals and technology compatibility.

By signing below, I (We) agree to the following:

• the final report on the grants activities must be submitted to the Foundation no later than 30 days after the completion of the grant.

• all purchases made by the MPPEF are the property of the Midland Park Public Schools

• technology and/or materials should be shared with other teachers when appropriate

• all efforts will be made to properly store and protect grant items to the best of my ability.

Name(s):  _________________________________________

Date:  ____________________________

Name:     

E-mail:

Phone:

Any questions with form, please contact Cheryl Crocitto at cheryljc@mppef.org