MoLLIE Grant Application

Please fill out all of the following fields:
Click on the orange field labels for additional instructions.
Name of project:
School:
School address:
School zipcode:
School district:
Your name:
You are a Teacher Parent Teacher's Assistant Principal Other
Your email address:
(valid address required)
Your school phone number:
Your home phone number:

Enter the number of students who will be participating in the program: 

Select the grade(s) of students who will participate:
2   3   4   5   6   7   8   9   10   11   12   Post high-school

Select a subject/discipline for your video project: 

Specify the topic area of the subject or discipline:

Describe how your students currently access digital media:

Project objectives. How does this project support your instructional standards and/or the Michigan Curriculum Framework?

Describe your proposed project:

Enter in demographic data for the participating students:

Black Latino Asian White Other
Boys
Girls

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