Applicant No.(assigned by grant administrator): ___________________
Part I
| Please type, computer generate or print neatly: | |
| Name | _____________________________________________ |
| Street Address | _____________________________________________ |
| City | _____________________________________________ |
| State/Province and Country | _____________________________________________ |
| Zip/Postal Code | _____________________________________________ |
| Home phone | _____________________________________________ |
| Work phone | _____________________________________________ |
| Email address | _____________________________________________ |
| References (people in the fiber field who know you and your work): | |
| Name | _____________________________________________ |
| Address | _____________________________________________ |
| Phone | _____________________________________________ |
| Name | _____________________________________________ |
| Address | _____________________________________________ |
| Phone | _____________________________________________ |
| I understand that submission of the report constitutes my permission for HGA to excerpt the report and/or duplicate or reproduce slides for publicity, promotional or editorial purposes. I am in agreement with all conditions set forth in this grant application form. | |
| Signature | _____________________________________________ |
| Date | _____________________________________________ |
Part II
| The information below must be typed, computer generated or neatly printed and have no personal identifying information on the sheet: | |
| 1. | Title and short description of proposal (see grant rules for details). |
| 2. | Costs associated with proposal with regard to: |
| a. Publicity or marketing plans | |
| b. Supplies and materials | |
| c. Other | |
| 3. | Please present a resumé of your teaching background; current activities; and list your future goals in the fiber field. Include samples of teaching curriculum; promotional materials from applicant's past teaching experiences; also include profiles, number and return rate of students per program. |
| 4. | Include a short description of the way in which you plan to fulfill the obligation to report to HGA. The application should include a statement of purpose or objective; how the recipient will measure the objective; how the objective will be carried out; and items that need to be in place to achieve this objective. |
| 5. | Please use additional pages, if needed, and staple pages together. |
Mail
completed application to:
Teach-It-Forward Grant
Handweavers Guild of America, Inc.
1255 Buford Highway, Suite 211
Suwanee, GA 30024
To report problems on this site send email
to the HGA office
http://www.weavespindye.org/html/teach_app.html
©2009 Handweavers Guild of America,
Inc.