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Keepers in the Classroom

Program/Grant Request

Grants are offered to off-set the costs of Keepers in the Classroom programs. Additional funding of up to $300.00 may be presented to classrooms who choose to perform an action project to benefit the environment.

To request a Keepers in the Classroom presentation/project, please fill out and submit this online application. Requests/grant applications must be received at least six weeks prior to the requested date of the Keepers in the Classroom program or start date of the environmental project.

Grant money is available!

The grant cycle begins July 1. Applications must be received by no later than October 15. All applications will be processed and applicants notified by October 30. Projects must be completed during the current school year and evaluations and documentation submitted to the Zoo no later than May 15.

To be considered for a GlaxoSmithKline grant, fill out all sections of this online application.
Note: Participation in an evaluative survey and documentation of the project through photos, samples of students’ work or other methods is required of grant recipients. This information may be shared with teachers through this website and Field Trip Earth.

Important: Once you start this application you must complete it during the same session.

*A: What is being requested?

*B: Funding source?

C: Contact Information
	*First Name
	*Last Name
	*Grade Level	K 1st 2nd 3rd
		4th 5th 6th 7th 8th 9th 10th 11th 12th
	*Number of students attending program
	*School
	*School System
	*Address
	*City
	*State
	*Zipcode
	*Phone (work)
	Phone (home)
	*E-mail	e.g. someone@foo.com
	Fax number
	Directions to School	Indicate here.
D: Program Request
	*Which program(s)?	Indicate here.
	*Requested date of presentation. (Indicate 1st, 2nd and 3rd choices)	1st	(mm/dd/yyyy)
		2nd	(mm/dd/yyyy)
		3rd	(mm/dd/yyyy)
	*Requested time of presentation. (Indicate alternate choices, if feasible)	Indicate here.
	*Cost of program(s) Refer to costs here.	Indicate here. Mileage cost will be calculated by the Zoo, using Mapquest to determine the roundtrip distance.
E: Curriculum Alignment
	*How will the program assist students in meeting curriculum objectives?	Explain here.
	*What additional lessons/activities will students complete to enhance their understanding of the environmental topics addressed during the keeper’s presentation?	Explain here.
F: Action Project to Benefit the Environment Complete this section ONLY when requesting grant money to fund an enviromental project.
	Describe in detail the action project your class will complete.	Explain here.
	Explain how the project will benefit the environment.	Explain here.
	*Explain how the project will benefit the curriculum and students’ learning.	Explain here.
	*List the materials needed to complete the project and the estimated cost of each.	List here.
	*What is the total amount of funding needed for the project? If greater than the allowance of this grant, how will the difference be obtained?	Explain here.
	*On what time line do you plan to work in order to complete this project?	Explain here.
	*Explain how the project will be evaluated.	Explain here.
	By submitting this online application, I agree to participate in an evaluative survey and (if requesting funding for an ‘action’ project) agree to document the project through photos, samples of students’ work or by other methods of documentation. I understand that receipts will be required at project end to document expenses of environmental project and that any unused monies must be returned to the Zoo by May 31.

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Education

Keepers in the Classroom

Program/Grant Request