Warren County Educational Endowment

Warren County
Educational Endowment, Inc.

P.O. Box 1314, Front Royal, VA 22630
debra.nicholson@wachovia.com

Helping Build Better Public Schools

Grant Application Form

All Warren County Public Schools are eligible to apply for the Endowment's grants during the months of January 1 through April 15. Please print this page, fill in, and mail to the Endowment. We look forward to hearing from you. Approved grants will be notified prior to the fall opening of school. Checks may be requested by the recipient any time thereafter. Applications not chosen will be sent to the Superintendent of schools for their consideration. Please review Programs Supported prior to making application.

WCEE GRANT APPLICATION FORM

All applications must have school system approval for proposed projects prior to submission to the Endowment Board. Those applications pursuing additional non-Endowment Grant money will be favored.

Name of Applicant(s)_________________________________________________
Date _________________________
Address ____________________________________ Phone (home) __________
School __________________________ Grade Level/Subject______________
Total Project Cost: ______ Grant Funds Requested: ______ Other Funds: ______

BRIEF OVERVIEW OF PROJECT:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

GOAL(S)/OBJECTIVE(S) OF PROJECT: Please list at least one goal/objective of your project.
(1)__________________________________________________________
(2)__________________________________________________________
(3)__________________________________________________________

PROJECT ACTIVITIES: Please list the specific activities associated with your project.
(1)__________________________________________________________
(2)__________________________________________________________
(3)__________________________________________________________
(4)__________________________________________________________

NUMBER OF STUDENTS SERVED BY THE PROJECT:
__________________________________________________________

PROJECT EVALUATION: Please describe how you will evaluate the success of your project. Include any potential data sources that will show program success.
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

PROJECT BUDGET: Please list the specific items/services contained in the project and the costs associated with each item/service.

Item/Service	Grant Funds	Local/Other Funds	Total Cost
1	$	$	$
2	$	$	$
3	$	$	$
4	$	$	$
Subtotal	Subtotal	Subtotal	Subtotal

Please describe how your project will be sustained after grant funding is no longer available.
____________________________________________________________________________
____________________________________________________________________________

______________________________________________
Signature of Applicant
___________________
Date Submitted

______________________________________________
Signature of Principal
___________________
Date Signed

FOR ENDOWMENT USE ONLY

Date Received: ___________ Application Number: ___________
Date Reviewed: ________________
Decision of Committee: Approved ___ Not Approved ___
Decision of Directors: Approved ___ Not Approved ___
Amount Approved: $____________
Date Certificate of Compliance Signed: ________________________
Grant Awarded to: _________________________________________
School: ___________________________________________________

Comments: