Conrad Toepfer Award Application

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1. Applicant First Name

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2. Applicant Last Name

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3. Email Address

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4. Phone Number

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5. Project Title

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6. Is this a program or project that has been completed, is in progress, or is in the planning stages?

Completed

In progress

Being planned

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7. Describe the purpose of the project, including how it benefits middle school students and how it is meaningful to them.

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8. Provide a timeline of/for implementation.

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9. Describe the project development process, including the role of student participants and other stakeholders involved in the project.

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10. Identify the outcomes the project is designed to accomplish.

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11. How have/will you measure the effectiveness of the project?

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12. If you are requesting a financial support grant, please attach a line-item budget here.

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13. Describe how the project aligns with the middle school philosophy as outlined in The Successful Middle School: This We Believe/Dr. Toepfer's vision for young adolescents.

Conrad Toepfer Award Application

Question Title

* 1. Applicant First Name

Question Title

* 2. Applicant Last Name

Question Title

* 3. Email Address

Question Title

* 4. Phone Number

Question Title

* 5. Project Title

Question Title

* 6. Is this a program or project that has been completed, is in progress, or is in the planning stages?

Question Title

* 7. Describe the purpose of the project, including how it benefits middle school students and how it is meaningful to them.

Question Title

* 8. Provide a timeline of/for implementation.

Question Title

* 9. Describe the project development process, including the role of student participants and other stakeholders involved in the project.

Question Title

* 10. Identify the outcomes the project is designed to accomplish.

Question Title

* 11. How have/will you measure the effectiveness of the project?

Question Title

* 12. If you are requesting a financial support grant, please attach a line-item budget here.

Question Title

* 13. Describe how the project aligns with the middle school philosophy as outlined in The Successful Middle School: This We Believe/Dr. Toepfer's vision for young adolescents.

1. Applicant First Name

2. Applicant Last Name

3. Email Address

4. Phone Number

5. Project Title

6. Is this a program or project that has been completed, is in progress, or is in the planning stages?

7. Describe the purpose of the project, including how it benefits middle school students and how it is meaningful to them.

8. Provide a timeline of/for implementation.

9. Describe the project development process, including the role of student participants and other stakeholders involved in the project.

10. Identify the outcomes the project is designed to accomplish.

11. How have/will you measure the effectiveness of the project?

12. If you are requesting a financial support grant, please attach a line-item budget here.

13. Describe how the project aligns with the middle school philosophy as outlined in The Successful Middle School: This We Believe/Dr. Toepfer's vision for young adolescents.