TeddyTales Micro-Grant Application

Contact Information

Full Name*

First NameLast Name

Phone Number*

E-mail*

example@example.com

School District Name*

School Name*

School Mailing Address (For materials)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Secondary Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Grade*

School Subject you teach?*

Number of Students?*

How many students receive free/reduced lunch?*

Please provide a brief introduction about yourself, your teaching, experience, and your school.*

Describe the specific literacy and social-emotional learning needs of your students. Include any challenges they currently face.*

How will you integrate social-emotional learning activities using the books and bears? Provide an example of activities or lessons.*

What are the expected outcomes for your students in terms of literacy and social-emotional learning? How will you measure these outcomes.*

How will you gather feedback from students and assess the impact of the project on their literacy and social-emotional learning?*

What other sources of support are needed, if any?

Estimated number of students impacted.*

Do you agree to submit a final report at the end of the project period detailing the outcomes, successes, and challenges?*

YesNo

I agree to allow The Foundation for Southern Opportunity to highlight my program’s accomplishments in print and other media. You agree to make sure that any student represented in photos or media is allowed to be photographed and have their photograph shared on public platforms.*

I agree

I agree that all of the information provided is correct to the best of my knowledge.*

I agree