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Delta Dental Individual Coverage
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Education Excellence Award Application
Education Excellence Award Application
School Name
*
Confirm School District
*
Street Address
*
City
*
State
*
ZIP
*
County
*
School Phone
*
Program/Creative Approach Title
*
Program/Creative Approach Lead Coordinator
*
Lead Coordinator's Title
*
Lead Coordinator's Phone
*
Lead Coordinator's Email
*
Principal's Name
*
Principal's Email
*
Superintendent's Name
*
Superintendent's Email
*
I understand that by submitting this application, information about my program will be made public if it is awarded a grant. Additionally, the program coordinator may be contacted by other districts or for more information.
*
I understand
What grade level(s) participate?
*
How long has your program/creative approach been in operation?
*
How many students have participated so far?
*
In 500 words or less, explain your program/creative approach, how it operates, and how it impacts students, teachers, and/or the community.
*
In 100 words or less, explain the goal of your program/creative approach.
*
In 500 words or less, explain how you plan to continue your program/creative approach and expand on opportunities utilizing the $2,500 Education Excellence grant.
*
Use the following file uploads to submit any images, supporting resources, and/or documentation:
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SET SEG Foundation
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