DUE TO FUTURES 2000+ COORDINATOR

SCHOOL YEAR 2013/2014

FUTURES 2000+ CLASSROOM INNOVATION GRANT APPLICATION Name of Proposal Click here to enter text.

School Click here to enter text.

DIRECTIONS: Type or print clearly using black or blue ink on application. Attach additional sheets as needed to answer questions. Answer ALL questions completely. Word processing is acceptable. Business Name: Address: City:

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Phone:

Name of Contact:

List name & grade of individual (s) submitting application. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text.

E-mail (opt.) Click here to enter text.

Check if contact with business has been made.

Signature of CertifiedTeacher facilitating completion of this grant.

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Print Name

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Signature *Please star the person(s) who will be the point of contact. STUDENTS DO NOT WRITE IN THIS AREA Special Instructions from Preliminary Committee: Approved Approved with changes Total Amount Funded__________ Not Funded

(Name of Grant) Click here to enter text. 1. Be specific about where you plan to visit and why you want to go there in your explanation. List at least 3 reasons why you/your group chose this future career. I/we plan to visit Click here to enter text. in Click here to enter text.because: 1. Click here to enter text.

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2. Describe how this grant connects with your learning from current or past lessons.

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(Name of Grant) Click here to enter text. 3. Create a time line of your day including: Departure & return time What you plan to do (specific to this career) What you plan to learn (include questions you might ask)

Depart from Click here to enter text. at Click here to enter text.A.M./P.M. Return from Click here to enter text. at Click here to enter text.A.M./P.M.

What do you plan to do at this place of business to learn more about your career interest?
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What questions will you ask at the business to learn more about this career?
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4. List & explain 3 connections that will make you successful in this career. They may include: Transferable skills Job requirements Educational courses
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5. How will you present your grant at the After Action Reports?
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(Name of Grant) Click here to enter text. 6. The mission of Geary County Unified School District 475 Preparing todays students for tomorrows world. Describe in detail how this grant specifically relates to the USD 475 Mission.
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7. Please provide a detailed budget explaining how the money will be spent? ***Refer to CIG Handbook for hints and explanation*** Item Needed
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Cost $ $ $ $ $ $ $ $ $ $

TOTAL MONEY REQUESTED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $