The Sol Hirsch Education Grant Application Cover Form

NATIONAL WEATHER ASSOCIATION

SOL HIRSCH EDUCATION FUND GRANT APPLICATION

TO BE FILLED IN BY THE PROJECT DIRECTOR

Personal Data:

Name: ________________________________________________________________________

School: _______________________________________________________________________

School Address: ________________________________________________________________

Home Address: _________________________________________________________________

School Phone: __________________________ Home Phone: ____________________________

Names of other participating colleagues: _____________________________________

Teaching Information:

Grades Taught: _________________ Disciplines Taught: _________________________

Number of years teaching science: _________________

TO BE FILLED IN BY THE SCHOOL PRINCIPAL

Name: ________________________________________________________________________

Title: _________________________________________________________________________

School Phone: _________________________ Home Phone: ______________________________

I have read and support this proposal. To the best of my knowledge, I verify that the applicant will remain employed by this school for at least the next school year.

Principal (sign): ___________________________________ Date: __________________

PROPOSAL TITLE: ___________________________________________________________

__________________________________________________________________________



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