2022 Classroom Innovation and Enhancement Award Application

2022 Classroom Innovation and Enhancement Award Application

Supported by the Gallatin Chamber Foundation
The Gallatin Chamber Foundation is the Gallatin Area Chamber of Commerce’s 501(c)3 component that exists to encourage, promote, and support innovative enhancement projects and creative initiatives within the City of Gallatin. Part of that mission includes the Gallatin Chamber Foundation Classroom Innovation and Enhancement Awards that are awarded each fall to Gallatin K-12 public school teachers to use for special projects in their classrooms. Annually, the Gallatin Chamber Foundation sponsors the Gallatin Shamrock Run, in which all proceeds are used to help fund the awards. Since the Foundation's inception, we have distributed over $75,000 to local Gallatin educators.

Before submitting your application, please review your proposal with your principal. Principal approval is required.

Award recipients will be contacted no later than mid August 2022. Gallatin Chamber Foundation Classroom Innovation and Enhancement Awards will be publicly announced and distributed at a special program in August.

If you are selected to receive a Classroom Innovation + Enhancement Award, the Gallatin Chamber Foundation Board will contact you four to six months after receipt for follow-up and a report on the impact and progress of your grant-funded project.

The attached proposal form must be completed in its entirety and submitted no later than July 22, 2022.

If you have any questions, please contact the Gallatin Chamber Foundation at info@gallatinchamberfoundation.org or 615.452.4000.
EDUCATOR INFORMATION
Name *

First Name Last Name
Home Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Have you applied and received an award from the Gallatin Chamber Foundation before? *

Yes No
If yes, please list the year(s).

SCHOOL INFORMATION
School Name *
School Phone Number *
Please enter a valid phone number.
Subject(s) you teach *
Grade level(s) you teach *
Principal Name *
Principal Email Address *

PROJECT INFORMATION
Project Name *
Provide a 2-4 sentence blurb about your project, appropriate for promotional purposes to local media and on social media. No longer than 4 sentences, please! *
Number of students served per year *
Number of years project could be used *
Total cost of project (in dollars) *
Amount requested (up to $500) *

COOPERATIVE PROJECTS

This only applies to projects with more than one participating instructor. If your project is cooperative, complete the previous section as well as this one. Please list all information for each additional instructor.
Total cost of project (in dollars)
Amount requested (up to $2,500)

ADDITIONAL TEACHER #1 INFORMATION
Teacher Name

First Name Last Name
Teacher Email
example@example.com
Teacher Grade(s)
Teacher Subject(s)

TEACHER #2 INFORMATION
Teacher Name

First Name Last Name
Teacher Email
example@example.com
Teacher Grade(s)
Teacher Subject(s)

TEACHER #3 INFORMATION
Teacher Name

First Name Last Name
Teacher Email
example@example.com
Teacher Grade(s)
Teacher Subject(s)

TEACHER #4 INFORMATION
Teacher Name

First Name Last Name
Teacher Email
example@example.com
Teacher Grade(s)
Teacher Subject(s)

TEACHER #5 INFORMATION
Teacher Name

First Name Last Name
Teacher Email
example@example.com
Teacher Grade(s)
Teacher Subject(s)

TEACHER #6 INFORMATION
Teacher Name

First Name Last Name
Teacher Email
example@example.com
Teacher Grade(s)
Teacher Subject(s)

PROJECT OVERVIEW
Briefly describe your project, including who will benefit, the longevity of the project, and an overview of the project plans & timetable. *
List the specific skills, behavior, and/or new knowledge students will gain from this project. *
In detail, describe sequentially what the students will do as they engage in this project. *
What method of evaluation will you use to determine if your objectives have been realized by your students? *

PROJECT BUDGET

Describe and itemize projected expenses. If any expense category does not apply, write "not applicable." Please be as detailed as possible. List costs for each item first and include details following. For example: $200 - Chairs. Chairs will be X a piece, and we will need 20 of them. We will be purchasing them from ABC chair company.
Equipment: Item(s) + Amount *
Software: Item(s) + Amount *
Supplies: Item(s) + Amount *
Printing: Item(s) + Amount *
Travel: Item(s) + Amount *
Other: Item(s) + Amount *
Budget Total (in dollars) *
Where will you find additional funding if project requires more than $500 (or $2,500 for cooperative projects) and/or any other expenses not categorized above?

TEACHER & PRINCIPAL CONFIRMATION

By providing the responses below, you confirm that this application is your work, and that your principal has approved your proposal. Principal approval is REQUIRED. Let these submissions act as an electronic signature.
Teacher Confirmation *

First Name Last Name
Principal Confirmation *

First Name Last Name
Should be Empty:

2022 Classroom Innovation and Enhancement Award Application

EDUCATOR INFORMATION

SCHOOL INFORMATION

PROJECT INFORMATION

COOPERATIVE PROJECTS

PROJECT OVERVIEW

PROJECT BUDGET

TEACHER & PRINCIPAL CONFIRMATION