North Carolina Science Teachers Association

NCSTA Innovative Curriculum Support Grant Application

First Name *

Last Name *

Email *

Project Title *

Project Director's Name

More than one person may work on the project but only one should be listed as project director. *

NCSTA Membership Expiration Date *

School Name *

Address *

County *

Email Address *

School Phone

Home Phone *

Cell Phone *

Grade Level(s) to be served by this project *

Number of students to be served by this project *

Number of staff members in or benefitting from this project *

Project Description

In 1,000 words or less, please include *

General Purpose and Goas Statement of Need Plan of Action Expected Outcome

Project Budget

Requested Budget Amount ($1000 maximum) *

Explanation of how money will be spent. Please include a brief budget, including any in-kind funding and details of how you propose to spend the grant funds. *

Project Replication

Will materials purchased from this grant be used for more then one year?

Yes

Project Materials

Explain how other teachers or schools/systems/ can replicate your project *

Any additional information you would like to share in support of this grant.