Institute for Innovation Proposal Request

INFORMATION

Name:*

First Name

Last Name

Email:*

School:*

Grade/Subject:*

Title:*

Purpose

Is this a collaborative effort?*

Yes No

Collaborators:

TIME/KNOWN EXPENSES:

Estimated Start Date:*

Estimated Time Frame:*

Attach Resource/Budget List: Download template from Inst. for Innovation webpage.*

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LOGISTICS

Number of Classes and/or Students Involved:*

Feedback from Principal:*

ABSTRACT: Please attach an abstract to your application. An abstract is a brief, clear summary of the information in your proposal. Your abstract should be no less than 200 words and no more than 500 words. Please include: Title/category, Innovation concept description, tentative timeline, impact on student learning, impact on others, impact on facilities, schedule, etc., any additional pertinent information not previously mentioned.

Abstract:*

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