TeachOtero Educator Application

Educator Application
Part 1 - Teacher Background
Teacher’s Name*
Teacher’s Primary Email Address*
Teacher’s Telephone Number*
Number of Years Teaching*
New Mexico Licensure Level*

Level 1Level 2Level 3
Have you won any awards, sat on any committees, served in a leadership role, or otherwise been recognized in connection with your work as an educator? Please elaborate.
School Name*
School District*
Principal’s Name*
Principal’s Email Address

Part 2 - Summary of Proposal
Grade Level*
Subject (If Multidisciplinary Please Describe) *
Number of Students That Will Be Impacted if Grant Is Awarded*
Amount of Grant Sought ($)*
Please Briefly Describe the Project You Intend to Fund with the Grant*

Part 3 - Narrative
In a Microsoft Word or a *.pdf document please answer all five questions below.

This part of the application will be blindly scored. As you answer the question, please avoid personal information that could be used to identify you or your school.

Questions:

1. Provide a detailed overview of the project or program that you are hoping to complete in your classroom should you be awarded the grant you are applying for. (500 words maximum).

2. Please identify what you propose to acquire with the grant and the approximate cost. If appropriate, please break down your grant proposal into component parts with costs for each component and include a total cost. Please remember, we are only able to provide a maximum of $1,000.

3. Describe in detail what led you to seek funding. Include information about the specific need of your students, class, school, and/or community. Without identifying them by name please describe your students and the student population that your school serves (100 words maximum).

4. Describe in detail how the program, project, or materials will be used and implemented. Include information on lessons, unit overviews, additional people involved and timelines as necessary (100 words maximum).

5. Describe in detail the impact that the purchased materials will have on your students, school, or community. Include information on specific benefits you hope to see and how you will be able to judge your own success (500 words maximum).
Upload Completed Document*

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Acknowledgements*

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Please acknowledge by checking here that if awarded a grant that is payable to you that you will be required to provide receipts for materials and equipment purchased with the grant within sixty days from receipt unless other arrangements are made in advance. If proper receipts are not provided you will be required to repay the amount awarded.
Please acknowledge by checking here that if awarded a grant you will be required to complete a short report when you have completed the project associated with the grant
Please acknowledge by checking here that you understand that if you are awarded a grant that the grant may be publicized by Teach Otero and the Sacramento Mountains Foundation and that this publicity may include your name, and the amount and purpose of the grant.

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Educator Application

Part 1 - Teacher Background

Part 2 - Summary of Proposal

Part 3 - Narrative