Funds for Fundamentals
Application Form

Applications must be postmarked by January 29, 2010.

Funds for Fundamentals is Omega Nu’s program to help defray teachers' out-of-pocket expenses for classroom basics. Teachers from the following elementary schools are eligible this year: Rio Del Mar, San Lorenzo Valley, Bay View, Westlake, Brook Knoll, Main Street, Del Mar, Live Oak, and Bonny Doon. Teachers who complete the application will be considered. Please attach a breakdown of how you would use the grant money. The grants cannot be used for parties, field trips, sports uniforms or salaries.

Applicant’s name ______________________________________ Date _____________________

School _________________________________________________________________________

School Address _________________________________________________________________

_______________________________________________________________________________

School Phone ___________________________Home Phone _____________________________

e-mail address ________________________________________

Grade Level _________ Number of Students __________

Number of years teaching at this grade __________ Number of years teaching _____________

Do you share a contract? ______ If yes, with whom? ___________________________________

Subjects taught __________________________________________________________________

Funds for Fundamentals
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