Teacher Mini-Grant
Record Type Name
Educator's Information
First Name
Last Name
School Email Address
Educator's Phone Number
School Information
School Name
Street Address
City
State Abbreviation
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Principal's Name
School Phone Number
Project Information
Project Name
Grade level(s) impacted
Please select...
Pre K-2
3-5
6-8
9-12
How will your project benefit students?
Target area(s) of learning
Will your project benefit a single class or multiple classes?
Please select...
Single Class
Multiple Classes
Multiple or Single Class Scoring
Can the project be carried over multiple years?
Please select...
Yes
No
Amount requested
$
Itemized Project Cost (Attach a Word or Excel file detailing the cost of your project. For each line item, Include 1) item name, 2) quantity, 3) approximate unit cost, 4) approximate total cost of each item, and, 5) total approximate cost to implement your project.
Date funds are needed
Other
Have you previously received a Mini-Grant
Please select...
Yes
No
If yes, how many years ago was it awarded
Please select...
1 year
2 years
3 years
4 years
5 years plus
Greater than 5 years or Never
Previous Year Grant Awarded Scoring
Applicant Agreements
If I receive a grant, I agree to submit an after-project report including: project results and photos of class participation. I agree that my name, project photos, and information may be used in publications and publicity of Peace River Electric Cooperative and/or its Operation Round Up Charitable Foundation without compensation.
I agree
I agree I am a certified educator in an accredited Florida Pre K-12 school in Brevard, DeSoto, Hardee, Highlands, Hillsborough, Indian River, Manatee, Osceola, Polk, or Sarasota County. My school is located in an approved zip code for the purposes of this grant. This is the only application I have submitted. I will use this grant, if awarded, for students in grades Pre K-12. By submitting this application, I acknowledge that I agree with these terms.
I agree
Applicant Signature
Date