Henry County Farm Bureau Ag Literacy Grant Application
Please note: You may not save your work and come back to this application. If you leave the page without submitting, your work will be lost. You are encouraged to review the questions prior to completing the application.
1. Applicant Information
Name of Teacher:
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First Name
Last Name
School Name:
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Grade Level:
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School Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Physical Address (if different from mailing address)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Phone
*
Please enter a valid phone number.
E-Mail Address
*
example@example.com
Make check payable to
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2. Project & Budget
Title of Grant Project
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Project Summary- Please provide a one sentence summary of your project and it's main objective.
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What is the description and purpose of the project? (Clearly state 2 or 3 measurable objectives)
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How will the project help increase the ag literacy of your students?
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List the names (if any) of the lessons from the Iowa Ag Literacy (iowaagliteracy.org) website that you will use as part of the Henry County Farm Bureau Grant Program.
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Explain which Iowa Core Standards the project will address.
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What is the estimated total cost of this project? (Please provide a detailed list of major project components and associated costs or expenses)
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Does this project require additional grant funding from another source? (Please list other funding sources)
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By checking the box below, I certify that all the information provided in this application is true and correct.
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YES
Submit
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