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Send application, postmarked by May 1,  to:

SDEA/NEA Educational Foundation

411 E Capitol

Pierre, SD 57501

TOTAL AMOUNT REQUESTED:_________________________________

PROJECT TITLE:______________________________________________

COORDINATOR’S NAME (one name only):

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COORDINATOR’S HOME ADDRESS:______________________________

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COORDINATOR’S SCHOOL NAME:_______________________________

COORDINATOR’S SCHOOL ADDRESS:____________________________

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COORDINATOR’S HOME PHONE:________________________________

COORDINATOR’S SCHOOL PHONE:______________________________

TEAM MEMBERS (must be members of SDEA/NEA):

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________________________________________________________________

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HOW DID YOU LEARN ABOUT THIS GRANT PROGRAM?

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SIGNATURE OF COORDINATOR:

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By signing this application, it is understood that, if you receive a grant, you will submit a photo for promotional purposes, complete and submit mid-way and final narrative and budget reports to the Foundation Director, join a talent pool and share your project by presenting at the convention and/or Current Trends in Education, and work with your local association to release a press statement announcing your project.

DESCRIBE YOUR PROJECT CLEARLY AND COMPLETELY BY PROVIDING THE INFORMATION REQUESTED BELOW

Each EXHIBIT should be placed on a separate page attached to this cover sheet. All information MUST be typed or word-processed. ONE SIDE ONLY! Additional supporting materials may be included.

• EXHIBIT A (Maximum 200 words) What existing problem(s) will your project address? State your desired outcomes.

• EXHIBIT B (Maximum 500 words) Describe your project by addressing the following: What will be done? By whom? How will you measure your outcomes and the success of your project? Include a timeline.

• EXHIBIT C Show your project’s budget: How will the money be spent? Be specific, including estimated expenditures whenever possible. Grants will not exceed $1,000.00 (one thousand dollars).

• EXHIBIT D Letter of support from your school district if applicable.

 • EXHIBIT E (Maximum 100 words) Describe any unique or unusual circumstances pertaining to your project that make it especially worthy of funding. This exhibit is optional.

YOUR LOCAL ASSOCIATION PRESIDENT OR EXECUTIVE COMMITTEE MEMBER SHOULD COMPLETE THIS SECTION

Local Association:_____________________________________________

Local Association President’s Home Phone:__________________________

Local Association President:______________________________________

Local Association President’s School Phone:_________________________

My signature below indicates that the Executive Committee of_____________________________(name of local) has reviewed this application and is aware of the project. My signature also certifies that the project coordinator and team members are members of the South Dakota Education Association/NEA holding active membership status. (SEE ELIGIBILITY STATEMENT)

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Signature of Local Association President or Date

Executive Committee Member