Submitter Information

Please note: website URLs are not permitted in this form. Please use the file attachment function at the bottom of this form to send website addresses as an attached file.

Phone Number*
Co-Writers (List If Applicable)

School Information

School Name*
School Address*
Principal Name*
Principal Email*
Principal Phone*

Other Grants

List Previous Grants Awarded*
List other Grants applied for this year*

Grant Information

Title of Grant*
Short Description of Grant (300 characters or less)*
Number of Students* (number only)
Grade Level of Students*
Dollar Amount Requested* (number only, no "$")

Grant Application

Tip: Paste copy from Microsoft Word or Notepad

Applicant's Beliefs About Literacy*

Full Grant Description*

Mission and Goals*

1. How does this grant promote the development of literacy for learners?

2. Does this grant provide professional development opportunities for educators (resources for programs and staff development)?

3. Please clarify your personal belief system about literacy and learning that is reflected in your practice

4. Does this grant develop a deeper understanding of the reading and/or writing processes?

5. How does this grant lay the foundation for creating life-long readers, writers, and learners?

6. Does this grant provide opportunities that link literacy at home and school?

Assessment Plan*

Itemized & Detailed Budget*

Attachments (optional)

File types accepted: Word, Excel, PDF, jpg.

Upon submission of this form, an email summary of your grant application will be sent to the email address provided. Please feel free to contact Chris Roy at with any questions.