Chevron | HaSTA Grant Application - Due August 17, 2015 ********NOW CLOSED*****
Chevron Hawaii Education Fund Grant
           At Chevron, wherever we are, we strive to be a good neighbor, sharing the concerns of our communities and working to create a better future. Chevron has a long history of supporting communities in Hawaii. Our efforts to promote excellence in math and science, and overall quality in schools, have been a guiding factor in our focus on education.
           The Chevron Hawaii Education Fund is a partnership with the Hawaii Science Teachers Association (HaSTA) to promote education particularly in the areas of science, technology, engineering and math (STEM) to support student success in the 21st century economy. Chevron Hawaii funds the grant program by contributing more than $25,000 in 2015.
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Organization Submitting Request: *
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Organization's Principal or Head of School: *
Name and Title
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Teacher Contact for this Request: *
Name and Title
Address: *
Email: *
Phone: *
Grade Levels Serviced: *
PROJECT INFORMATION *
Title:
Amount requested: *
Project Narrative part 1: *
Describe your project. Be sure to include: – A brief timeline for implementation. – Number of students and grade levels that will be involved in program.
Project Narrative part 2: *
Describe the expected outcomes of your project. Be sure to include: – The student outcomes you hope to achieve. – How will you measure the student outcomes? Please be specific and include documentation that will be used.
Project Budget: *
Please explain how these funds will be used by providing a detailed list of supplies/ materials/ equipment/ transportation and include the cost. (Note: food and t-shirts are not allowable expenses.) • Please identify other sources of income for this project, if applicable.
Other: *
If your project involves curriculum development, what methods would be used to share the curriculum or results with others, either within your school or with other schools? • Please tell us how you heard about this funding opportunity.
Grant Report Documents *
 A one-page final project report (Word document or .pdf) with photographs is due July 1, 2016, or 30 days after completion of your project. Please include the project title, author(s), school name(s), and date at the top of the document. Reports should be emailed to Carina Tagupa at ctagupa@chevron.com. Additionally, grant awardees of $2500 will present a poster OR break out session at the HaSTA 2016 fall conference. A signed media release is required for every individual who is featured in any of the photographs that you submit. Please refer to the HaSTA website to access the waivers http://hasta.wildapricot.org/Chevron. Please email signed (.pdf) waivers to hastachevrongrant@gmail.com. If you are unable to email the documents, please send an email to hastachevrongrant@gmail.com for alternate delivery.
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Agreement *
Should my grant application receive funding, I understand that grants will be awarded at the HaSTA conference, Saturday, September 12, 2015 and will make every effort to attend and accept my award.
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Signature Required *
PLEASE TYPE YOUR FULL NAME TO INDICATE YOUR SIGNATURE
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