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Scientech Club Foundation Grant Application



Directions

  1. Type all information except signatures.
  2. Print out application and submit original and one copy before June 1 to:

Special Projects Committee
Dr. Robert Brueckmann, Chairman
3302 S. 975 E.
Zionsville, IN 46077-8915
(317) 769-6365
rBrueckmann@indy.rr.com



Scientech Club Foundation Grant Application


Section 1. Proposal Identification


  • Date of Application


  • Project Title or Descriptive Phrase


  • Adult Participants


  • Project Director and appropriate e-mail address



  • School and Address with full zip code




  • Authorization by:


  •     Project Director _______________________________  Date ___________


  •     School Principal _______________________________  Date ___________


Section 2 . Proposal Description (including purpose, objectives , activities, number of students and written curriculum product):







Section 3. Proposed budget (itemize if possible):