Form Submitted by:

Date:        Application Deadline: 

Funding Source Name:  

Website or Web Link Information (if available):
http:// 

Do you have your building principal's approval?   Yes No

Proposal Writer:    Location:  
(person responsible for program implementation)

                 Phone:     e-Mail  

Project Manager:    Location: 

                Phone:      e-Mail        

Proposal Title:  

Maximum Budget Request:     Check one:    One Year      Renewable

Does this grant require a cash match?  Yes     Amount or Percent    No

Duration of Project:  Start Date - End Date    New    or Continuation 

Summary
Describe the project purpose, location, target group(s) or grade levels & community partners: 

Has the author written grants before?  Yes    No 

If yes, was funding received?  Please indicate amount, source and date:

If you have questions, please contact Suzanne DeWald, development officer
dewalds@schenectady.k12.ny.us

__________________________________________

After you hit "submit," a confirmation page will appear.  Please copy for your records.