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M.S.D. OF LAWRENCE Township School Foundation, INC.
GRANT REQUEST COVER SHEET
 

A.        Name of School______________________________________________

            Principal__________________________________Phone_____________

B.        Project Title _________________________________________________

            Grant Request  $____________________________

            Total Budget (if different from above)  $_____________________________

C.        Grant Type Being Requested:

                        _____   Mini-Grant (Maximum $750 request)

                        _____   School Grant (Maximum $2,000 request)

                        _____   Multi-School Grant (Maximum $3,500 request)

                        _____   District Grant (Maximum $5,000 request)

D.        Total Number of Students Served By This Grant:: ________________

                        Pre-Kindergarten            _______  
            
            Kindergarten                   _______
                        Grades 1 - 5                    _______
                        Grades 6 - 8                    _______
                        Grades 9 -12                  _______

E.         Project Director ______________________________________________

            Title/Position/Location__________________________________________

            Daytime Phone_____________________Evening Phone______________

            Email Address ______________________________________________

            Co-Project Director (if applicable) ________________________________

            Title/Position/Location_________________________________________  

            Daytime Phone ______________________Evening Phone ____________

F.         Project Director's Signature _____________________________________

            Principal's Signature __________________________ Date ___________

PLEASE SUBMIT 16 COPIES OF YOUR GRANT APPLICATION