CONSTRUCTION TRAINING PARTNERSHIP
School Application
SCHOOL INFORMATION
SCHOOL NAME:
*
SCHOOL ADDRESS:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PRIMARY CONTACT
NAME:
*
TITLE:
*
ROLE:
*
EMAIL:
*
example@example.com
PROGRAM PROPOSAL
ANTICIPATED START DATE OF CONSTRUCTION PROGRAM
*
-
Month
-
Day
Year
Date
DESCRIPTION OF CURRENT OR PLANNED CONSTRUCTION CURRICULUM:
*
BRIEFLY OUTLINE THE FOCUS (E.G., CARPENTRY, ELECTRICAL, GENERAL CONSTRUCTION
NUMBER OF ANTICIPATED STUDENT ENROLLMENTS IN YEAR ONE:
*
NUMBER OF ANTICIPATED STUDENT ENROLLMENTS IN YEAR TWO:
*
INSTRUCTOR/STAFFING PLANS
*
WHO WILL TEACH THE PROGRAM?
ATTACH RESUME
*
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FACILITIES & EQUIPMENT:
*
BRIEFLY DESCRIBE THE SPACE, TOOLS, AND MATERIALS AVAILABLE FOR HANDS-ON TRAINING.
COMMITMENT
BY CHECKING THE BOXES YOU ARE AGREEING TO THE TERMS AND CONDITIONS BELOW
FOUR-YEAR PROGRAM - School agrees to run this construction program for a minimum of four (4) years.
*
AGREE
STUDENT ENROLLMENT DATA - School agrees to track and report enrollment data annually to Build Mississippi.
*
AGREE
FUNDING REQUEST
PER-STUDENT FUNDING - $1,800 per student estimated to be enrolled in the construction program by year two
ESTIMATED TOTAL FUNDING REQUEST - Number of students Year Two x $1,800 - MAX amount of $45,000
*
ADDITIONAL INFORMATION
LIST ANY PARTNERS (Local businesses, Community organizations) supporting this program.
DESCRIBE HOW THIS PROGRAM ALIGNS WITH THE SCHOOL'S MISSION OR STRATEGIC PLAN.
DESCRIBE YOUR GOALS FOR THE PROGRAM AND WHAT IT'S SUCCESS LOOKS LIKE TO YOU.
SCHOOL APPROVAL
BY SIGNING THIS APPLICATION, THE UNDERSIGNED ACKNOWLEDGES THAT THE INFORMATION PROVIDED IS ACCURATE AND THAT THE SCHOOL COMMITS TO MEETING THE OBLIGATION OUTLINED IN THE ACCOMPANYING MEMORANDUM OF UNDERSTANDING (MOU).
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