Classroom Technology Awards for Teachers Application

Project Name*

Name*

First Last

School Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School Physical Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County*

Home Telephone Number*

Mobile Number*

Email*

Curriculum*

Number of Students to Benefit*

Grant Amount*

What one piece of technology equipment would benefit your students in the classroom?*

What are the goals and objectives in obtaining this technology?*

Please provide a detailed description and an itemized project budget (or cost).*

Please provide a detailed description and an itemized project budget (or cost). If uploading a spreadsheet or images, please indicate 'See attached' in this field and attach the relevant file(s) using the optional file attachment below.

Optional: Attach any Files or Pictures of Project Budget (if applicable)

Max. file size: 50 MB.

Wake Electric Classroom Technology Awards

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