Experiential Grant Application Follow Up Form - Telluride Education Foundation

Applicant Information

Applicant Name*

First Last

Job Title

Email*

Phone*

Proposed Project Title*

Project Date*

Amount Received from TEF*

Grant Request/Project Description*

What did the participants gain from the project/program?*

How was the success of the project measured?*

Who evaluated this?*

Actual # of participants who demonstrated growth in knowledge*

Was the students’ skill and/or knowledge of the subject tested prior to the project? After the project? How did the results compare?*

Do you expect to request this grant in the future?

Would you make any changes to your project/event?

Please provide a quote that we may use to communicate the benefits of this program to your students.*

Actual (if different than expected)

# of students directly involved*

# of class sections directly involved*

# of students indirectly involved*

# of class sections indirectly involved*

# of teachers involved*

# of teacher aides involved*

# of hours of instruction provided per student for the length of the program:*

# of non-Caucasian students*

#of students living outside Telluride or MV*

Grade Levels*

In addition to this follow up form, TEF requests that you provide one of the following:*

2-3 quality photos will be emailed to TEF for use on their website and/or for promotional use;
A letter addressed to the editor of the local papers by the applicant and submitted to TEF, describing the project and acknowledging that funding of this activity was provided by TEF, The Telluride Foundation and Just for Kids Foundation (or CCAASE as appropriate);
Teacher(s) and/or student (s) may prepare a short (1-3) minute or 1 page presentation on the project at a monthly TEF meeting;
Share the evaluation of the students’ growth in knowledge; or
Provide anecdotal evidence of the project’s impact on the student’s skill and/or knowledge of the subject matter.

Applicant Signature (type name)*

Date*

This form will be sent to your principal for review.

Principal*

Email

This field is for validation purposes and should be left unchanged.