Date (mm/dd/yyyy): 

Full Name (LastName, FirstName): 

Email address: 

Telephone (999-999-9999): 

School Site:  Cloverland East Stanislaus Fair Oaks Magnolia Oakdale Charter Oakdale High Oakdale Jr High Sierra View Valley Oak District 00-06 District 00-08 District 07-08 District 00-12

Position:  Administrator Computer Lab Technician Counselor Librarian Nurse Psychologist Speech Pathologist Teacher

Grade:  Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth Ninth Tenth Eleventh Twelfth Kindergarten-Third Kindergarten-Sixth Kindergarten-Eighth Kindergarten-Twelfth Third-Sixth Seventh-Eighth Seventh-Twelfth Ninth-Twelfth

Amount Requested ($#,###.00): 

1.  Project Description

2.  How many students will benefit over the life of the grant from this project? (i.e., 20 students x 7 yrs = 140)

3.  How many classrooms will benefit over the life of the grant from this project? (i.e., 4 classes x 7 yrs = 28)

4.  What is innovative or unique about the project?

5.  What, if any, grants have you received from O.E.F. in the past?

Please describe and attach your evaluation if you received a grant last year.

6.  If requesting to purchase items, what is the life expectancy of the materials or program?

7.  What is the timetable for implementation?

Start Date (mm/dd/yyyy): 

End Date (mm/dd/yyyy): 

Note:  For grants over $1,000.00

8.  Is this a full or partial payment towards your need?  Full Partial

9.  Is there other funding to support this need?      Yes     No

Explain:

10.  How will the program, item or materials requested be evaluated for effectiveness?

  Please PRINT the Grant Application before clicking the "SUBMIT" button below.

  Sign your Grant Application and give a copy to your site Principal. Keep a copy of the completed
   application for your records.

  Applicant Signature: