Hampstead Educational Foundation
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                                                                                                Hampstead Educational Foundation
                                                                                                                             PO Box 1164
                                                                                                           E. Hampstead, NH 03826

                                                         Teachers' HEF Grant Application
                                                                                                   
                                                                                               Deadline: Prior to Thanksgiving Recess

Name:  _____________________________________      Date:  ________________________

School: ________________________________        Applicant E-mail:  _________________

Project Title: _________________________________________________________________

Summary of Project
Please attach a complete description on a separate piece of paper including these items:
1.      How the grant would be implemented
2.      Expected impact on students including the connection to the grade level curriculum
3.      Itemized budget (Show HEF funding request as well as any other funding.)
        Please note that HEF funds may be used for materials only; labor, travel, food costs not eligible.
4.      Adjustments needed to your project if you do not receive HEF funding

Students who will benefit directly:

Grade(s): __________________                    Number of Students: __________________

Total amount of money requested from the HEF:                       $ ___________________

If the HEF awards this grant, the Foundation welcomes feedback on the benefit of the grant to the intended students. HEF encourages grant recipients to send photographs and samples of the project during the process or at the conclusion.
                                                                                ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
If funded, I (we) agree to carry out the goals of this project in accordance with the description and budget contained in this application or in accordance with any adjustment that is subsequently approved by Hampstead Educational Foundation.

 In the event that I (we) do not carry out this project for whatever reason, I (we) agree to account for and return all unused funds to the Foundation by June 1, 2012.

 Applicant(s) Signature(s): _____________________________________________    ________

 Collaborator’s Names:

1. ________________________________            4. _______­­­­______________________________

2. ________________________________            5. _______­­­­______________________________

3. ________________________________            6. _______­­­­______________________________

Principal’s Signature/Date:___________________________________________________________
                                                                                                                                                                                                                                                    Revised March 2012
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