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Section 1
Grundy County Local Technology Grant Application


Evaluation Form for Local Technology Innovation Grants

Item.....................................Possible Points................Your Points

Cover Page and Assurances......................................10.....................................___________
Is the cover page neat and legible?
List of Equipment...........................................................10.....................................___________
Copies of catalog pages to further explain facts about the equipment requested...5....____________
Explanation..........................................................10....................................____________
Use of Requested Equipment to Enhance Education......50..................................._____________
Projection for improving teacher effectiveness ............30..................................._____________
Use of Equipment Presently Available.......................10..................................._____________
Current Use of Available Equipment..........................20................................______________
Philosophy of Technology in Education.......................10..............................______________

Total.............................................______________

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For Office Use Only:

Application Code................Evaluator Code..................

This grant should be funded...........partially..........fully........not at all. (circle one)

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Section 2

Grundy County Technology Innovation Local Grants

Cover Page

Applicant's Name________________________School________________

Subjects Taught_______________________________________________

Date of Application________________________Grade Level____________

Assurances and Agreements: Please, sign below indicating your acceptance of these terms.

1. I assure that the equipment will be used to enhance learning in my classroom.
2. I agree to provide an accurate inventory as requested annually of all equipment placed in my classroom.
3. I will teach children who use the equipment to care for it properly.
4. I will report any damages and loss to the Central Office with explanations regarding causes, etc.
5. I understand that the equipment belongs to the Grundy County Schools and if my employment witht he system terminates, the equipment will be returned to the Technology Department.

Date___________________Teacher Signature_______________________

I have read this application and believe all statements contained within it to be ture and accurate.

Principal's Signature____________________________________________



Section 3

GCTIL Grant Official Application Form


I. List of Equipment Requested: (10 Points). Please, list below, in priority order, the equipment you are requesting through this application. It will be most helpful if you provide copie sof catalog pages, etc. to further explain your request and to aid in purchase. Five additional points will be given if these copies are provided.

1.
2.
3.
4.
5.


II. Explanation. (10 Points) If above items are self-explanatory, full points will be awarded. Briefly explain any items that might not be easily understood.





III. How will this additional equipment be used to enhance education in your classroom. (50 points) Please, provide enough discussion to convince the reader that placement of this equipment is justified. Give detail concerning curriculum enhancement and improved and varied teaching strategies that will help improve academic standings of your students. (One additional page labeled III may be used if necessary.)








IV> How will the requested equipment help to make you a more effective and efficient teacher? (30 points)






V. Please, list the items of technology you currently use in your classroom, such as computers, printers, overhead projectors, TVs, VCRs, listening centers, GeoSafari, tape recorders, etc. If you list computers, please, indicate the kind such as Apple IIe, Macintosh LCII, Gateway 2000, etc. (10 points) Points will be awarded based upon use of equipment, not the actual equipment found in your classroom. This will demonstrate varied teaching strategies, and indicate commitment to use what is provided.)







VI. Privide a discussion of how these items are used and their importance in your classroom. You should explain how they are used, such as in centers, for remediation, enrichment, etc. Please, provide examples. One additional page labeled "VI" may be attached if needed. (20 points.)







VII. Please, provide a brief statement in 200 words or less, your philosophy regarding the use of technology in education. (N0 additional pages may be submitted.) (10 points)














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