Request for College & Career Funding

If you are submitting more than one form on the same day, CHANGE the Requesting Teacher field a little for each submission by adding 1,2,3 or a,b,c. Otherwise you will overwrite the one you just sent!
 

Requesting Teacher:
WARNING: DO NOT USE  / . ? ,  or any other symbols in this field ... it WILL corrupt the .pdf version of the form.

Email Address:

Requesting SLC (theme/grade level):

Requesting School: -- Select School -- J. C. Harmon High F. L. Schlagle High Sumner Academy Washington High Wyandotte High

Phone Contact Number:

Total Amount Requested:
NOTE: SLCs can apply for up to $3,000 for the 11-12 school year.

Date Funding Required AND Project Date:

Describe the project activities + when and where they will be carried out.
Also provide % of sophomore students who have had a college and career experience.

Explain how you are targeting students for this experience:

Below is the primary goal of the College & Career Funds. Write a brief statement describing how this proposal addresses one or more of the various aspects of this goal.

Fund Goal:To Enhance Student Support Systems to ensure "All students exit high school ready to attend post secondary institutions and are career and workforce ready." — Supporting students vision for their future. Supporting students as they work on their College Readiness Benchmarks. Supporting students with enrichment opportunities that deepen the students' understanding of the theme of their Small Learning Community or Pathway.

Specific Project Goals: (measurable goals for this proposed funded activity)

Break down requested funds by the following allowed categories. List the activities and corresponding expendatures requested in each category. Only activities that fit within the goals and the categories below will be considered. Food, awards, general equipment or supply requests are not the purpose of this fund.

Transportation Costs:
(buses/vans) e.g. 4-1/2 hour trip to KCKCC = $160.00

This project activity requires bus transportation.

# of students participating:      # of certified adults:

Arrival Date:       Pick up from school at: A.M.

Departure Date:      Return to school by: P.M.

This project activity requires van transportation. (no charge)

This project activity does not require transportation.

Registration/Entry Fees:

This project activity requires registration/entry fees.

# of student fees:      Cost of student fees:

Name & contact information for company/organization:

They will take the following forms of payment:
Purchase Order # (preferred form of payment)     Credit Card     Check

This project activity does not require registration/entry fees.

Substitute Teacher Costs: ($132.60 per sub)

This project activity requires a substitute teacher.

# of substitute teacher/s:

This project activity does not require a substitute teacher.

Misc. Costs:

Please explain:

Total Cost of Project Activity:

A .fdf version of the completed form will be emailed to you. When you receive this emailed version of the form, please do the following:

1. Save it to your computer
2. Open it from the saved file on your computer
   NOTE: It should open in your web browser using an Adobe Reader plug in. Email Teresa Boose if you cannot open the file.
3. Print it
4. Obtain Principal Signature
5. Attach an invoice from the company/organization who is requesting registration/entry fees
6. Return all to Lori Hewitt, Post-Secondary Connections Specialist, KCKPS Central Office,
   2010 N. 59th Street, KCK 66104

Submitting application and documents does not guarantee approval. Approval notification will come within 48 hours of when the complete proposal was received.