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Application 2012-2013 E-mail

Print the application, fill it in, and mail it to us. Copy the text, make your own document, and email it to us. It's up to you to get the following information to us before the November 2 deadline!

 

Application Information

2012 – 2013 School Year

 

Email:

Mail: 2224 NE 41st Ave, Portland, OR 97212

 

Deadline November 2, 2012! (Must be postmarked by November 1, 2012.)

Guidelines at www.madgrants.org

 

Applicant Information (Please type or print legibly and fill in completely. We often have to follow up during the application process. Our ability to find you easily will help all of us!)

Name:

     

 

 

Address:

     

 

     

Zip:

     

 

 

Phone:

(     )                  

E-mail address:

 

I agree to complete a simple grant report at the close of the school year. ____ (“yes” to agree)

         

 

School Information (Again, please type or print legibly and fill in completely!)

School District:   Portland         Highline             

(Highline educators may use Excel Grant applications)

School Name:

     

School Address:

     

 

     

Zip:

     

Principal’s Name:

     

Principal’s Phone:

(     )      

Principal’s E-mail:

     

 

What is your position at the school?

     

 

Grant Specifics

Project Title:

     

 

Number of Students Involved:

     

Number of Teachers Involved:

     

Total Amount Requested:

$     

(Maximum is $1000)

If you receive this grant and would like the check made out to your school rather than directly to you, check here: _____

           

 

Summary of Grant Request

Please read the guidelines on our website so you can make your best possible case. We are looking for extraordinary, unusual, MAD ideas! So tell us, what makes your idea MAD? Please attach a brief (200 word max.) description of your project, including its benefits, purpose, etc.  

 

Specific equipment, materials or supplies requested and preferred supplier (if applicable):

     

Contact: contact@madgrants.org