Mini-Grant Online Application
Please Fill Out All Boxes and Click Submit Below

* Name:
* Title:
* Work Phone (with area code):
* Home Phone (with area code):
Email Address:
Other Persons on Grant Team (include names and titles):
*School Name:
*Grade Span:
* Address (Line 1):
Address (Line 2):
* City:
* State:
* Zipcode:
*School District:
*Number of Students in district:
*Number of Students in school:
*Number of Students in school with physical/sensory disabilities:
*Number of Students in school with other disabilities:
*Demographics of School (ie. urban, suburban, or rural):
*Describe your school’s need for an inclusive science program that serves students with physical and/or other disabilities.
*Explain your commitment to the long-term goal of providing all students, including those with disabilities, optimum access to the field of science? Tell how your project will address the CLASS Project goals.
*Briefly tell how your Grant Team will collaborate to coordinate, implement, and evaluate the plan of action stipulated in another section of this application.
*Statement of support for project from administrator:
*Specifically describe how you will increase access to science for all students, particularly those with disabilities, through a collaborative effort between science and special educators and others who are interested in facilitating successful, inclusive, learning communities. Address student characteristics, curriculum, pedagogy, school culture, resources, and any other areas you believe are pertinent. Include specific objectives you hope to accomplish through this project, a plan for evaluating the effectiveness of your project, and a timeline for implementation and completion. Response should be no more than two pages in length.
*Please describe in as much detail as possible, how you will use the $5,000 grant funds to implement and support your inclusive science program. It is important to account for all of the money. However, the budget may be amended if needed at a later date.
Please copy in any letters that indicate support for your project from administrators, other classroom teachers, related services personnel, parents, counselors, students, etc.

   

 

Note: You must submit the following items in order for the application to be complete:
1) The signature from the administrator who wrote the statement of support for the project. This can be faxed to the Biology office at 937-775-3320, or can be sent by surface mail as soon as possible to:

Mary Ellen Bargerhuff, Ph.D.
320 Allyn Hall
3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001

2) Any letters of support that could not be copied into the submission form. These can be faxed to the Biology office at 937-775-3320 or be emailed to mary.bargerhuff@wright.edu.