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Mini Grants Application Form  
Mini Grant Guidelines

 

The Mini – Grant Review committee is comprised of 3 members of the Executive Board of NJSSNA. The committee will review all of the submissions and make award recommendations to the Executive Board for their consideration and approval.

The deadline for submitting an application is November 1, 2007. The committee will announce the grant recipients at the annual NJSSNA Conference. It is hoped the projects will be able to begin in school year 2008 -2009. We would like to receive a progress report, updated budget form and notification of culminating activities or events on each project no later than March 1, 2009.

Please note that the application form requires the signature of your building principal or supervisor to assure that the appropriate administrators are aware of your submission. Kindly complete all sections of the application.

Each application will be judged by the following criteria:

We are aware of your commitment to the health and welfare of all of your students and we wish you the best during the reviewing process. Please do not hesitate to contact us should you have any questions.

How to apply: complete the attached application and submit by November 1, 2007.

Grant Committee
In care of Millie Evans MS RN NCSN
39 Pacific Avenue
Bayville, New Jersey 08721

Phone: Work: 732-556-2154 Home: 732-237-2467
Email: wevans80@comcast.net


2007 – 2008 Mini Grant Guidelines

  1. School nurses who submit and application for a NJSSNA Mini Grant must have been a member of NJSSNA for three years, including the current year.
  2. Projects should directly involve students as fully as possible.
  3. Grants may be used to compensate experts who work with students, but usually not to pay nurses, teachers or other staff.
  4. Proposals that incorporate matching funds or community resources should be looked on favorably. For example, students or PTA’s might raise matching funds, or community organizations could donate needed equipment, services or free admission to events. Such outside contributions are a sign of community commitment to the project and tend to enhance the effectiveness of the Mini Grant award. Documentation of dedicated matching dollars should be included.
  5. Projects are to be carried out within the next school year of the award. Example if the award was given in March 2008, the project should be completed in school year 2008 – 2009.
  6. School nurses are required to keep a record with receipts for all expenditures, to be included in their final report. Upon completion of each project, the grant recipient will submit a summary/evaluation report.
  7. The Mini – Grant Committee would appreciate notification of any event that is taking place as a culminating activity that results from our Mini – Grant. We would like to share in your success and would also like to have the opportunity to publicize our activities in the newsletter and on our website.
  8. Grant applications will not be considered from any nurse who is a member of that year’s Mini – Grant Committee.

The following section is available as a Word file.  If you have difficulty retreiving it to your PC you may print this page and use it as your Mini-Grant Application.

NJSSNA MINI – GRANT APPLICATION

FALL 2007

 

Applicant Name: _________________________________________________________

 

Title of Grant: ____________________________________________________________

Location of Project: _______________________________________________________

 

Audience (Age and # of students and/or staff and families): _______________________________________________________________________

Amount of Grant requested:         __$500             __$1,000

 

Check the appropriate category: __ Individual          __ Co-operative (two or more school nurses)

 

Please list applicant(s), school(s), and position(s) (Please print):

 

 

 

 

 

 

Signature of Applicant: ___________________________________________/_______
                                                                                                                                                  
Date

Signature of Co-Applicant(s) ______________________________________/________
                                                                                                                                                 
Date                                                                                                                          
                                                           ____________________________________/________
                                                                                                                                                 
Date

Signature of School Principal ____________________________________/_________
                 
and/or                                                                                                                    Date

Signature of Supervisor/Administrator _____________________________/________
                                                                                                                                                   
Date

 Title of Grant _____________________________

 

NJSSNA Mini Grant Application

 

Description of Educational/Health Need.

 

 

 

 

What health/educational objective do you hope to achieve?

(Core-Curriculum content #)

 

 

 

 

 

Project Activities (Give specific examples):

 

 

 

 

 

 

 

Time Line (What is the duration of the project or program? When are each of the objectives met?):

 

 

 

 

 

 

 

Expected Results:

 

 

 

 

 

 

Evaluation (How will you measure success?)

 

 

 

 

 

 

Title of Grant _________________________

 

 

Please complete the following on a separate sheet of paper.

Budget: (Please itemize all costs associated with this project, including shipping and handling). Include any matching funds expected, from whom and when.

 


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