Ag. in the Classroom Grant Application

AG. IN THE CLASSROOM

Name*
First Last
Organization/School*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
If funding is awarded, what is the name of the agency, individual or account the check should be made payable to?*
Amount Requested ($250 minimum, $500 maximum)*
Please enter a number from 250 to 500.
What is the purpose of this project?*
Approximately how many students/community members will this project impact?*
Please enter a number from 1 to 1000000000.
How do you plan to measure the success of the project?*
Description of the project and how it enhances student awareness of agriculture:*
Timetable of Project*
Please include any/all notable dates and milestones associated with this project.
Action Item Date (MM/DD/YYYY) Notes Other
Please list any groups, individuals, or other partnering organizations involved in the proposed project, and describe their involvement*
Organization Involvement
Budget*
Please include a detailed breakdown of all anticipated expenses and income.
Transaction Date (MM/DD/YYYY) Dollar Amount Description/Comments
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Transaction	Date (MM/DD/YYYY)	Dollar Amount	Description/Comments

Action Item	Date (MM/DD/YYYY)	Notes	Other

Organization	Involvement