WATERWORKS!

 STREAM SAVERS 2005-2006 AWARD APPLICATION

Mailing Address:

WaterWorks
Middle Tennessee State University
Box 60
Murfreesboro, TN 37132
 

Or email: khargrov@mtsu.edu

Note: This form is currently for illustration purposes only.  Please use the download function below to obtain an application form to apply for this grant.

Please check the correct box: 

 I am a Teacher of 5-12 students in Tennessee.

I am a Teacher of 5-12 students in Tennessee.

I am a Student in grades 5-12 in Tennessee.

Project Title:

Project Description (please limit to 200-300 words)

 

Grade Level
 
Number of students involved    Number of staff involved
 
Project Coordinator
 
Home Address 
 
City            State
 
Zip Code         Home Phone #
 
Email Address 
 
(Please list the names and addresses of others involved with this project)
 

School Name    
 
School District
 
Street Address        
 
City 
 
State   Zip Code
 
Phone #       Fax #   
 

Teachers who receive an award will be expected to disseminate the environmental knowledge and experiences gained through this project with other interested parties in your area, such as teachers, administrators, the general public, or environmental educators. This requirement can be satisfied by presenting your project to other teachers at a district in-service training, creating a web page to share information with other educators via the internet, or writing a newsletter article for use in applicable environmental and educational publications. Other creative methods of disseminating information will also be considered. Describe on separate page how you plan to share the environmental knowledge gained through this project and the audience you intend to address (teachers, students, general public, etc).

Do you agree to share the knowledge and expertise gained from this grant funded project if selected?

Yes

No

We affirm that the project as outlined in the above Project Description has been completed by our school/organization.  If our project is chosen, we agree to abide by the criteria as set in the guidelines accompanying this application.

Signature of Project Coordinator                                                        Date
 
 
Signature of Administrator                                                                Date
 

 

To download a copy of this application in Microsoft Word, click here.