GRANT APPLICATION

Part One: 

School Details

School Name:____________________________ 

Address:_____________________________

Teacher Name:_____________________________ 

Teacher E-mail:_____________________

Teacher Phone Number:______________________ 

Grade Level:_______________________

Demographics of school student population of students being served:__________________

Part Two: Plan Details

Destination of field experience:__________________________________________________

Planned date(s) _______________________________________________________________

Primary Educational objective for this field experience:_______________________________

How will students prepare for the experience?______________________________________

What follow-up activities are planned for this trip?___________________________________

Part Three: Budget Summary

Total number of students expected on this trip:______________________________________

Total number of school staff expected on trip:_______________________________________

Total numbers of volunteers expected:_____________________________________________

Estimated Expenses:

Travel:_$__________________________Supplies:_$________________________________Other:__$__________________________

Amount Of Carly’s Kids Grant requested $___________________________________________

Signature: ___________________________________

By submitting this application I agree to the following:· I agree to submit a trip reflection form within 60 days· I agree to submit two pictures from the trip that can be used on the Carly’s kids web-page.
Please submit completed applications to info@carlyskids.org