1. Contact information:
First Name:
Last Name:
School: Check all that apply	YHS YMS CRES VES
Email Address:
2. Project Information:
Project name:
Grade: Check all that apply	K 1 2 3 4 5 6 7 8 9 10 11 12
Number of students implementing project
Subjects: Check all that apply	Science Math ELA Social Studies Health/P.E. Technology World Languages Art Music Career Prep
Project Dates:	From: September October November December January February March April May June July August Choose starting month To: September October November December January February March April May June July August Choose ending month
3. Project Descriptions:
a. Describe your project in one to three sentences
b. Academic Integrity: Identify the knowledge and skills addressed by the project. Identify relevant state/local standards to be met.
c. Student Ownership: Describe how students were involved in selecting the idea and planning/ implementing the project.
d. Apprentice Citizenship: Describe the community need met by the project. List the community partners who were involved.
e. Guiding Principles: Check all that apply	Critical Thinkers Creative and Practical Problem Solvers Collaborative and Quality Worker Self-directed and Lifelong Learner Responsible and Involved Citizen Integrative and Informed Thinker Clear and Effective Commuicator
f. Maine Learning Results Performance Indicators: List for all curriculum areas addressed by your project.
4. Project budget:
List Budget Requested	Item Amount 1 - 2 - 3 - 4 - 5 - 6 - 7 - Total funds requested for project:

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