Name:
Organization:
Department
Address of Organization:
County: State: Zip:
Name and Title of Official Certifying Organizational Compliance with the Grant:
Signature:
Name/Title (type or print):
How many individuals will benefit from the grant if your proposal is funded?
Are you a Member or an Affiliate Member of the ACS.?
Grant criteria: Funds are to be used to improve chemical education in the area served by the Cincinnati Section of the ACS.
Grant Proposal: The proposal should contain 300-500 words, double-spaced on official letterhead. It should describe the objective(s) of the project, how the project is to be carried out, how the project would improve chemical education, how the program fits into the education program (if the applicant is from a school), and whom would benefit. Also, the proposal is to contain a detailed budget which outlines expenditures, the amount being requested from the Educational Grant and the amount being requested from other sources.
Send 5 copies of the Application and the Proposal to:
Ginger Tannenbaum
Fairfield Senior High School
1111 Nilles Road
Fairfield, OH 45014
Reports: Grant recipients are required to submit a report to tbe Committee within one year from the time of notification of the award. The report will include an outline of how the funds were used, what have been purchased, if anything, with the funds and what benefits have been derived thus far from the use of the funds.
Acknowledgment: It is requested that the major instruments purchased with the use of these funds be tagged with the following acknowledgment:
"This equipment was purchased (in part) with an Educational Grant from the Cincinnati Section of the American Chemical Society."