BOOMHOWER GRANT       

		Nancy M. Boomhower Memorial Active Teacher Grant Program

 
Application Date ________________________________ 


Name of Applicant_______________________________________________________________

School District Employed _______________________________________________________ 


Name of Building Employed ______________________________________________________


Work Phone _____________________________ Evening Phone _________________________


Email Address __________________________________________________________________


Name of Proposed Grant Project _________________________________________________ 


Names of Other Staff Members Involved in Project 


________________________________________________________________________________


________________________________________________________________________________


Grade Level and/or Subject _________________ Number of Students to be Served _____


Proposed Beginning Date of Project ________________

Proposed Completion Date of Project _______________


1.DESCRIBE the purpose of your project and EXPLAIN how it fits into your school’s  
curriculum and Strategic Plan.




















2. DESCRIBE your project and EXPLAIN its implementation process.




















3. DESCRIBE/LIST materials needed for your project. Be as specific as possible.
















4. DESCRIBE the evaluation procedures you will use to assess the success of your project.


___________________________________________________________________________________


Listed below are some of the guidelines for our MCRTA Nancy M. Boomhower Active Teacher Grant 
Program. Please check those that match your project with the guideline.


___Advances the curriculum goals of my school district.


___Creates new ideas and concepts or strengthens existing programming.


___Benefits as many students as possible.


___Provides student learning opportunities not available from district general funds
   or parent support groups.





Grant applicants please note: 
MCRTA would love to publicize your innovative educational ideas and our involvement with active teachers. You must include a visual rec-
ord of your completed project. 


A photo record or a power point slide presentation (or its equivalent) showing materials 
used, activities involved in the project, and students participating in the project would be 
appropriate. You will be asked to share the results of your grant project with the member-
ship of MCRTA at the June meeting.


WHEN YOUR GRANT APPLICATION IS COMPLETED, PLEASE OBTAIN YOUR 
PRINCIPAL’S SIGNATURE BELOW AND MAIL YOUR APPLICATION FORM TO:
 
Lin Crane, 3523 Sleepy Hallow Rd, Brunswick, Ohio 44212


Please direct questions to greglincrane@roadrunner.com 


Completed applications need to be received by May 2 to be considered. 


Principal: ________________________________________________________________ 


Date application sent: _____________________________________________________


Date application received: __________________________________________________ 


(You may download this application at www.medinacrta.org)