Fillable Part II Application Form (Monroe County Community College)

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Part II Application Form (Monroe County Community College)

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BROWSE MONROE COUNTY COMMUNITY COLLEGE FORMS

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Part II — Application Form
Project Title: ______________________________________________________________________
Project Leader: ____________________________________________________________________
Address:__________________________________________________________________________
Daytime Phone No. ________________________ Evening Phone No. ________________________
MCCC Division/Department: _________________________________________________________
Total Enhancement Grant Funding Requested (Range: $250-$3,000) _________________________
Will you accept partial funding? Yes No
Estimated Total Project Cost:
Has this project received funding through the college budget or other internal sources in the past?
Yes No
Are other funding sources currently available to this project? Yes No
Have you previously received Enhacement Grants Program funding? Yes No
Estimated Duration of Project: (dates) From ______________________ To ___________________
Estimated Number of Persons Beneted by the Project: ____________________________________
If you are requesting grant funds for a eld trip or club activity, how many
students/faculty will participate: ______________________________________________________
Primary Funding Category (Select only one)
Community Engagement Campus Innovation Educational Enrichment
This section is to be completed by the review committee.
Received on: _____/_____/_____ Project to be funded: □ Yes □ No
Assigned Project Number: ________________
Amount to be funded: $_______________
Reviewed by committee on: _____/_____/_____
COMMENTS:
___________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Enhancement Grants Program
__________________________
Part III — Budget Estimate
Project Title: Grant Number:
Applicant:
Contact Information:
Estimated Duration of Project:
Date of Grant Project Completion:
Budget – Expense Report
Expenses
Please list all expenses by category.
ESTIMATED EXPENSES ACTUAL EXPENSES
Advertising
Articulation
Capital Outlay (Equipment)
Contracted Services
Duplicating/Printing (On Campus)
Field Trips
Food & Beverage At Event
General Scholarships
General Supplies
Instructional Materials
Rentals
Outside Printing (O Campus)
Other Rentals (Equipment)
Postage
Rent of Space (O Campus)
Training
Travel Expenses
Total to be Returned to The Foundation:
(Please list $0 if all funds were expended.)
A signature is not required at the time of application. Actual expenses and signatures are only required at the time
of grant closure. This form is intended to provide a budget estimate for the grant expenses.
Enhancement Grants Program
N/A
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Part II Application Form (Monroe County Community College)

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Completed 18 September 2020

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