Grant Application — E .C. Glass Foundation

Professional Development Grant Application

Prior to applying, please review the following commitments in order to be eligible for an E.C. Glass Foundation Grant.

Intend to remain at E.C. Glass for at least 2 (two) years barring unforeseen circumstances.
Agree to submit a description of the benefit to Glass within about a month from returning from the program.
Funds for Professional Development experience are not available from LCS in any fashion.

Part 1 - Candidate Information

Name

First Name

Last Name

Email Address

Department

Where do you work at E. C. Glass?

Today's Date

YYYY

Opportunity Name/Title

Name of Event, Course, etc.

Location

Where will event/course take place?

Previous Grants

list number of grants previously received by E. C. Glass Foundation and the year(s) awarded.

Courses Currently Teaching

No. of Years Teaching

Level of Education

Type of Teaching Certificate

Endorsements

Part 2 - Anticipated Benefit

Benefit

Please describe (in about 200 words); The program/course you wish to attend The anticipated benefit to E. C. Glass How you will share what you have learned with other faculty or administrators at E. C. Glass

Part 3 - Budget Request

item 1

description of the 1st budget line item, i.e., course fee, travel, materials, etc.

amount item 1

item 2

description of the 2nd budget line item, i.e., course fee, travel, materials, etc.

amount item 2

item 3

description of the 3rd budget line item, i.e., course fee, travel, materials, etc.

amount item 3

item 4

description of the 4th budget line item, i.e., course fee, travel, materials, etc.

amount item 4

Part 4 - Additional Information

Notes

Add any additional information regarding this request that did not fit into the fields above.