Grant Applicant Information

Full Name:	*
Email Address:	*
Daytime Phone Number:	*
Business Fax Number:

Potential Recipient Information
School Administrator:	*
School Name and Class/Grade:	*
School Phone Number:	*
School Address (City, State and Zip):	*

In approximately 250 words or less use the space provided below to explain in detail what you would do with the $1,000 CBS 42 "One Class at a Time" classroom resource grant. Also include what it would mean to you and your classroom to be selected as a grant recipient.

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Note: * fields are required. Any additional information you provide will greatly assist us in getting you the information you need quickly.