Fall 2021 Grant Application: Equity & Innovation Part 1Please read 2021 Teacher Grants Guidance / Requirements prior to completing this application. We also recommend that you review the lists of past grant awards. Requirements(1) Grants are available up to $1,000 (2) Funds may not be used for foods/parties or to pay teachers/applications for professional development. (3) Transportations costs can be funded if they represent no more than 25% of the total grant request. --- Additional information can be found in the Grant Guidance + Requirements Document on the FPPS website. Proposal Title* Lead Applicant Name* Lead Applicant Email* Lead Applicant Telephone*Co-Applicants (if applicable) School*Breathe ProgramCasco Bay High SchoolCliff Island SchoolDeering High SchoolEast End Community SchoolKing Middle SchoolLincoln Middle SchoolLongfellow SchoolLyman Moore Middle SchoolLyseth SchoolOcean Avenue SchoolPATHSPeaks Island SchoolPortland Adult EducationPortland High SchoolPPS district, all schoolsPresumpscot SchoolRemote AcademyReiche SchoolRowe SchoolTalbot SchoolIf you chose Breathe Program, fill in your school here: Did you receive a Fall 2020 Teacher grant?* Yes No If yes, did you fill out a final report?* Yes No If NO, this is a requirement for the application and you can find the final report form on the Grants page of the FPPS website. Grade Levels* Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Adult Check all that applyNumber of Students Grant Will Impact*Please enter a number from 1 to 1000.Subject Area Impact (for example: Math, Science, English Language Arts)* Alignment with Portland Promise* Achievement Equity Whole Student People Check all that apply.Please summarize how this proposal/project will meet objectives of the Portland Promise:Part 2 - Proposal DescriptionDescribe the project/proposal. Please include information about the identified need or problem(s) and how this proposal will address those needs. Please also describe how you’ll measure success.*Part 3 - Budget (Award Limit: $1,000)Important: ALL fields must be filled in for the application to be considered complete. Proposal Expenses must equal Proposal Revenues. Please be sure to check that your proposal budget balances.Revenue Requested from FPPS in support of Proposal* Expenses - Please describe each anticipated cost and, when appropriate, provide actual product descriptions or cost information. Describe the expenses as specifically as possible (i.e. - clay and paint rather than “supplies”) Please ensure that your list of expenses totals to the amount of revenue requested above. ExpensesDescription of ExpensesAmount Click the PLUS (+) to add more rows.Total Proposal Budget (includes all expenses)*Please enter a number from 0.00 to 10000.Add any notes about additional funding sources for the Total Proposal Budget. Please share additional information to provide detailed information about proposed expenses. For example, provide a link to a product description and/or cost information.*Grants are available up to $1,000 Funds may not be used for foods/parties or to pay teachers/applications for professional development. Transportations costs can be funded if they represent less then 25% of the total budget. Will you accept partial funding?* Yes No Part 4 - SignaturesApplicant Signature (Electronic)*I have read and hereby acknowledge and agree to abide by all grant guidelines. Electronic signatures are acceptable. To sign please type your full name. Community Coordinator NameFPPS requires that your school's Community Coordinator is aware of, and in support of your grant application. By typing their name in this field you acknowledge that they are aware and supportive of your application. School Principal's NameFPPS requires that your school's principal is aware of, and in support of your grant application. By typing their name in this field you acknowledge that they are aware and supportive of your application. PPS Information TechnologyFPPS requires that any application contemplating the purchase of technology has been reviewed by the PPS Information Technology Department. Your signature here ensures that the School Principal has gained approval for any technology purchase.