MISSOURI RETIRED TEACHERS FOUNDATION CLASSROOM GRANT APPLICATION COVER SHEET MRTF M

MRTF
MISSOURI RETIRED TEACHERS FOUNDATION
877-366-MRTA
3030 DUPONT CIRCLE
JEFFERSON CITY, MO 65109
WWW.MORTF.ORG
MISSOURI RETIRED TEACHERS FOUNDATION
CLASSROOM GRANT APPLICATION COVER SHEET
Deadline: Application Cover Sheet and Sections 1 through 5 materials must be post-marked
June 30 (include original and two copies of everything).
Funds: Funds may be appropriated in the areas of resources, leadership, research, or materials
used by an active Missouri classroom teacher. A minimum of forty-two (42) $500 grants will be
awarded (three per MRTA Region, see map enclosed).
Winners: Winners will be notified by September 15. A one page follow-up report is requested from
the grant recipient by April15 of the following year.
Thank you for your interest and intent to further the excellence of education in the State of Missouri.
For questions about this application, please contact the MRTA office at 1 (877) 366-6782.
Applications may be downloaded at www.mortf.org.
NAME OF APPLICANT_____________________________________________________________________
E-MAIL ADDRESS OF APPLICANT__________________________________________________________
APPLICANT HOME PHONE (____)_______________ APPLICANT CELL PHONE (____)_______________
SCHOOL DISTRICT_______________________________________________________________________
COUNTY________________________________________________________________________________
SCHOOL NAME__________________________________________________________________________
SCHOOL OFFICE PHONE (
)_______________
SCHOOL ADDRESS City/State/Zip Code_______________________________________________________
________________________________________________________________________________________
NAME OF LOCAL NEWSPAPER_____________________________________________________________
WEBSITE, PHONE # & CITY OF NEWSPAPER _________________________________________________
________________________________________________________________________________________
Office Use Only: MRTA Region_________
By giving, you leave a legacy; you create a memory that will not fade.
MRTF is a 501(c)(3) not-for-profit charitable corporation.
MISSOURI RETIRED TEACHERS FOUNDATION GRANT
APPLICATION SECTIONS
SECTION 1. Title and Description
In 50 words or less, describe your school or classroom project. Please identify the
population involved and include a detailed description of the demographic area for which the
funds will be used.
SECTION 2. Purpose of the Project
State the overall goal or objectives for pursuing your project. Explain what you hope to
accomplish at the completion of the grant.
SECTION 3. Evidence of Need
Demonstrate the need for your project.
SECTION 4. Planning
Address any previous planning that you or your school completed prior to submitting this
application. Then describe what you plan to do in a systematic schedule or plan of action.
Include approximate dates with each planned activity from beginning to completion. How do
you plan to evaluate the success of the project?
SECTION 5. Proposed Budget Explanation
Attach a detailed list of all materials, supplies, and equipment, rental or purchase costs to
show how the grant money will be spent. Include the supply company and cost by item. If
the school district or another organization will share in the total cost, please detail their
contribution beyond the $500 grant.
APPLICATION CHECKLIST
ASSEMBLE YOUR APPLICATION IN THIS ORDER.
1.
2.
APPLICATION COVER SHEET
SECTIONS 1 THROUGH 5 COMPLETED. SECTIONS 1 THROUGH 5 SHOULD NOT EXCEED 5
PAGES. THE APPLICATION COVER PAGE DOES NOT COUNT TOWARD THE 5 PAGES.
REMINDER: YOU MUST SUBMIT THE ORIGINAL AND TWO (2) COPIES OF THE APPLICATION
COVER SHEET AND SECTIONS 1 THROUGH 5 MATERIALS TO THE MRTF OFFICE POST-MARKED
BY JUNE 30.
By giving, you leave a legacy; you create a memory that will not fade.
MRTF is a 501(c)(3) not-for-profit charitable corporation.
Missouri Retired Teachers Association
Regional Map – 14 Regions
Atchison
Holt
Nodaway
Worth
Putnam
Harrison
Gentry
Dekalb
Buchanan
Platte
Clinton
Clay
Daviess
Scotland
Region 3
Livingston
Linn
Macon
Marion
Caldwell
Rall
s
Monroe
Chariton
Carroll
Ray
Randolph
Saline
Lafayette
Pike
Johnson
Howard
Pettis
Boone
Region 4
Montgomery
Morgan
Benton
Miller
Hickory
Cedar
Dallas
Polk
Osage
Gasconade
Phelps
Laclede
Crawford
Washington
Saint
Francois
Dent
Greene
Webster
Christian
Barry
Stone
Perry
Region 11
Wright
Texas
Region 10
Bollinger
Wayne
Carter
Douglas
Howell
Taney
Ozark
Cape
Girardeau
Madison
Shannon
Lawrence
McDonald
Ste.
Genevieve
Iron
Reynolds
Newton
Hwy. 340 (Olive St.)
Jefferson
Region 8
Dade
RegionJasper
9
Franklin
Maries
Pulaski
Vernon
Saint Louis Saint Louis City
Region 7
Camden
Region 14
Saint Charles
Moniteau
Region 6
Saint Clair
Lincoln
Warren
Callaway
Cole
Henry
Region 13
Audrain
Region 5
Cass
Barton
Lewis
Shelby
Cooper
Bates
Clark
Knox
Region 2
Jackson
Adair
Sullivan
Grundy
Region 1
Andrew
Schuyler
Mercer
Oregon
Ripley
Scott
Stoddard
Region
12 Mississippi
Butler
New
Madrid
Pemiscot
Dunklin
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