Your Federal Quarterly Tax Payments are due April 15th Get Help Now >>

CLARKE COUNTY EDUCATION FOUNDATION, INC by ls723a4r

VIEWS: 0 PAGES: 6

									              CLARKE COUNTY EDUCATION FOUNDATION, INC.
                      2012/2013 GRANT REQUEST FORM
               (Requests must be received by September 28, 2012)

The Clarke County Education Foundation (CCEF) is an independent public charity dedicated to
promoting, expanding, and augmenting the educational opportunities for students and staff in the
Clarke County Public Schools, by generating private support and involvement to enhance these
publicly-maintained services. We are a non-profit 501(c)(3) organization, which is not affiliated
with Clarke County Public Schools or the Clarke County School Board.

All decisions regarding approval or denial of grant requests will be made by the Clarke County
Education Foundation, and are final. Grant requests must be submitted in writing to the Clarke
County Education Foundation by September 28, 2012.

                    GUIDELINES FOR GRANT APPLICANTS
   Grants are awarded on an annual basis to be used for students in the Clarke County Public
    Schools.
   Grants are to supplement and enhance academics and learning for students. These grants are
    not to replace programs/projects normally funded by the Clarke County School Board
    budget.
   Proposed projects should benefit a large number of students, preferably encompassing
    various grade levels, and potentially impact students repetitively in successive grade levels.
   Proposed projects must be directed toward students.
   Proposed projects should be directed toward VDOE Standards of Learning.
   If you have been a past grant recipient, as an individual or part of a team, you must be up-to-
    date on all grant evaluations for each grant awarded. If you are submitting with a partner,
    please make sure both/all of your prior grant evaluations have been completed and received.
   Grant evaluations are due one year from the receipt of grant
   TECHNOLOGY RELATED GRANTS (software, projectors, multimedia systems, etc.) -
     Each request must receive a technology director sign off.
     Failure to do so will result in forfeiture of consideration.
     It is not the responsibility of the technology director to submit your application.
     To ensure that your technology related grant is received by September 30, please provide
        ample time for technology department processing.
     Please refer to the approved technology equipment list (equipment currently compatible
        with CCPS technology systems) located at www.ccefinc.org. Go to Programs, Teacher
        Grants, Approved Technology link.
     If this request is for technology equipment not listed on the approved link, please
        provide justification for request and an explanation of how the equipment will fulfill the
        specific need on the bid sheet form.
     Three quotes are not necessary if item is located on approved listing.

                          Examples of Grants Previously Funded by CCEF
Weather station; graphing calculators; microscopes, slides, animal ecosystems and science
equipment; musical instruments, music, microphones and choir robes; library books and books
on audio; physical education equipment; art and photography equipment; educational software.


                                            Page 1 of 6
                                   Unallowable Grant Requests
The CCEF will not fund any request for consumable items, textbooks, furniture, playground
equipment, copyrights or annual licensing, smart boards, teacher compensation, field trips, travel
expenses, meals, athletic events, sponsorship of events, advertising expenses, or school activities
related to fundraising.


Instructions for completion of this application:
1. Grant requests must be submitted in writing on the provided form to P.O. Box 1252,
Berryville, VA 22611.
2. FORMS MUST BE TURNED IN BY SEPTEMBER 28, 2012. NO LATE FORMS
WILL BE ACCEPTED.
3. The form may be obtained online at www.ccefinc.org (grant tab).
4. Only faculty/administrators of Clarke County Public Schools are eligible to submit requests.
2. If additional space is needed, a blank, typed page may be attached.
3. All applications must be typed. Handwritten applications will not be accepted.
4. All applications must have building administrator approval.
5. All requests that are computer/technology related must have CCPS technology director
   approval.
6. DO NOT attach company order forms – you must submit the completed CCEF Quotation
   Record Form and Purchase Order with your application (forms attached).
7. Please make a copy of your application for your records.
8. Refer to the above examples of previously funded grants and the grant guidelines.

Send application to: Clarke County Education Foundation, Inc.
                     P.O. Box 1252
                     Berryville, VA 22611-8252


Please contact the Executive Director at (540) 955-0430 regarding any questions.




                                            Page 2 of 6
APPLICANT INFORMATION: Applicant(s) Name:                                _________________________________

School:                                                          Position:

I,        _                                                  _______ agree to be accountable as the Grant
Manager for this proposal.

PROPOSAL TITLE: Please give a brief title of your grant request:



PROPOSAL: State specifically a description of your grant request, including the purpose; educational/academic
benefits(s); student population to be included; Standards of Learning to be met; plan of implementation; anticipated
outcomes; and completion date.




                                        CERTIFICATION/DISCLOSURE
I certify that all information in this application is correct. I also certify that neither the applicant(s) nor recipient(s) is
a trustee or staff of the Clarke County Education Foundation, a major contributor to the Foundation, or a corporation
controlled by a major contributor to the Foundation. I have reviewed my proposal with my administration. I grant
the Clarke County Education Foundation, Inc. the right to use this proposal and the results, if funded, for public
information. I agree to submit by October 1, 2013, a summary report/evaluation of the proposal impact/outcome.
(This form is available on the web site.)

Signature(s)*                                                                                    Date
*If this grant is submitted by a team, please indicate one person as the grant manager.

____________________________________________
Grant Manager


Signature of Building Administrator                                                              Date


                                                           Page 3 of 6
                                QUOTATION RECORD FORM
                                    Must complete for requests over $500.00
             Technology items found on the approved CCPS technology site DO NOT require three bids

                                   Clarke County Education Foundation, Inc.
                                                P.O. Box 1252
                                             Berryville, VA 22611
                                                 Phone: (540) 955-0430

VENDOR NAME:                                                             Contact:

Address                                                                  Delivery:

Phone                                                                    Quote:

Fax                                                                      Terms Good Until:


VENDOR NAME:                                                             Contact:

Address                                                                  Delivery:

Phone                                                                    Quote:

Fax                                                                      Terms Good Until:


VENDOR NAME:                                                             Contact:

Address                                                                  Delivery:

Phone                                                                    Quote:

Fax                                                                      Terms Good Until:




TECHNOLOGY RELATED GRANTS - Please refer to the approved technology equipment list (equipment currently
compatible with CCPS technology systems) located at www.ccefinc.org (grant tab). If this request is for equipment
not on the approved link, please provide justification for request and an explanation of how the equipment will fulfill
the specific need.




                                                      Page 4 of 6
                               CLARKE COUNTY EDUCATION FOUNDATION, INC.
                                          PURCHASE ORDER

    Grantee’s Name                                          Proposal Title
VENDOR NAME, ADDRESS                                            The number below must appear on all packing slips,
                                                                packages, invoices, envelopes, and correspondence.

                                                                P.O. NUMBER: Issued by CCEF


PHONE:                              FAX:                        P.O. Date:

ITEM                    STOCK NUMBER / DESCRIPTION                    QTY        UNIT    UNIT         TOTAL        QTY
NO.                                                                                      PRICE        PRICE        RECD




                                                                                         Subtotal

                                                                                         S&H

                                                                                                      TOTAL:

______________________________________________             ____________
CCEF Approval                                              DATE

______________________________________________             ____________
Technology Approval (if applicable)                        DATE

SHIP & RECEIVE: To Be Completed by CCEF Personnel
SHIP TO NAME & ADDRESS                                           SHIPPING TERMS:
Clarke County Education Foundation, Inc.                         RECEIVING:                    Date     Initials

16 N. Buckmarsh St.                                                          Partial
Berryville, VA 22611                                                         Complete
PHONE: 540-955-0430                FAX: 540-955-0430



    INVOICE TO NAME, ADDRESS, PHONE                        The Clarke County Education Foundation, Inc. is a non-
                                                           profit organization that is tax exempt under Internal
    Clarke County Education Foundation, Inc.               Revenue Code Section 501(c)(3).
    P.O. Box 1252                                          Federal ID No.: 541606545
    Berryville, VA 22611       540-955-0430                VA Sales Tax Exempt No.: SE541606545F02152013



                                                  Page 5 of 6
                                                                     
Teacher Grant
Request Checklist
To ensure compliance with CCEF Teacher Grant Requirements, refer to the checklist
below prior to submitting your application. Proposals have been rejected because of
noncompliance with some of the below stated requirements.

□    I am a faculty member/administrator of CCPS and in no way associated
     with the CCEF.
□    I have referred to the Grant Guidelines and examples of previously
     funded and unallowable grants.
□    My grant application is completely filled out. It is typed and NOT
     handwritten.
□    It will meet the September 28, 2012 deadline.
□    Any additional pages attached have been typed on a blank page.
□    If it is Technology-related, I have received technology
     administrator’s approval/signature.
□    I have obtained my building administrator’s approval/signature.
□    I have attached the completed CCEF Quotation Record Form and
     Purchase Order.
□    If I have been a recipient of a prior grant, individually or as part of a
     team, I have ensured that all Grant Evaluations for previously awarded
     grants have been received by CCEF.
□    I have made a copy for my records.
□    For any questions, clarifications or assistance, I’ve called the CCEF
     executive director at 955-0430.

The Clarke County Education Foundation has funded over $500,000 in teacher grants
over the last 15 years. We are dedicated to promoting, expanding, and augmenting the
educational opportunities for students and staff in Clarke County Public Schools.

We thank you for submitting this Teacher Grant request to the CCEF this year. Your
proactive effort to enhance the learning environment for students is to be commended
and encouraged.

                                     Page 6 of 6

								
To top