TEACHER CONSULTANT CONTINUING MINI-GRANT PROGRAM

Name:__________________________________________

Home Address: ___________________________________
                          ___________________________________

Home Phone #:  _________________ SS #:  ____________

Amount of Funding Sought: __________________

DESCRIPTION OF PROPOSAL:  Describe how funds will be used to enhance your ability to serve as a teacher consultant for the Connecticut Geographic Alliance.  Greater specificity on how your grant relates to the mission of CGA and criteria for mini-grants makes it easier for the Review committee to consider your proposal.  Use the back of this sheet to list three most recent geography in-service activities (date/topic/audience # and type).




BUDGET: $ __________

Materials (describe):

Travel (these can be specified later);$ _________

Registration

Transportation $.485/mile, bus, RR, airfare)

Lodging

Meals (reimbursement without receipt for overnight travel of breakfast $4, lunch $5, dinner $10)

TIMETABLE FOR EXPENDITURE_____________________________

Send application to:

Rita Courtois
CGA Administrative Assistant
P.O. Box 275
Vernon CT 06066-0275