Funds for Fundamentals
Application Form 2011
Applications must be postmarked by November
18, 2011.
Funds for Fundamentals is Omega Nu’s program to help defray teachers'
out-of-pocket expenses for classroom basics. Teachers and staff members
who complete the application are eligible for consideration.
Field trips, salaries, uniforms, and parties are excluded.
Applicant’s name ______________________________________
Date __________________________
School ______________________________________________________________________________
School Address _______________________________________________________________________
____________________________________________________________________________________
School Phone ___________________________ Home Phone __________________________________
E-mail ______________________________________________________________________________
Grade Level _________ Number of Students __________ Number of
years teaching ______________
Subject area(s) taught __________________________________________________________________
Please provide a brief description of how you plan to use the
grant funds.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________________________________________________________________________________
Mail completed form to:
Omega Nu of Santa Cruz
Funds for Fundamentals
P.O. Box 1696
Santa Cruz, CA 95061
Funds for Fundamentals
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