APPENDIX B: Intent to Apply Form Form C100 Intent to Apply – Due November 30, 2012 by 4:00 p.m. Please complete the form below and return to: Elizabeth (Liz) Valentine, ITQG Coordinator (address provided on RFP Cover) THIS FORM IS AVAILABLE ONLINE AT http://dhe.mo.gov/ppc/grants/teacherquality.php. Project Title (not to exceed 20 words) 1. Name of Lead Higher Education Institution Name Title Please specify college/department (e.g. Professor, Chemistry) Address Telephone Number 2. Project Director from Lead Higher Education E-mail Address Institution Signature Date Name Title 3. Co-Director(s) Please specify college/department or school level (elem. or middle) or subject area Address Telephone Number (Information for additional may be entered in E-mail Address the Abstract Form) Signature Date 4. Grade Level 5. Content Area 6. Length One 2013-2014 Two Years 2013-2015 Three Years 2013-2016 7. Planned School District Partners Please attach a brief description of the proposed project (no more than 300 words,
APPENDIX B: Intent to Apply Form Form C100 – Intent to Apply Due November 30, 2012 by 4:00 p.m. Please complete the form below and return to: Elizabeth (Liz) Valentine, ITQG Coordinator (address provided on RFP Cover) THIS FORM IS AVAILABLE ONLINE AT http://dhe.mo.gov/ppc/grants/teacherquality.php. Project Title (not to exceed 20 words) 1. Name of Lead Higher Education Institution 2. Project Director from Lead Higher Education Institution Name Title Please specify college/department (e.g. Professor, Chemistry) Address Telephone Number E-mail Address Signature Date 3. Co-Director(s) (Information for additional may be entered in the Abstract Form) Name Title Please specify college/department or school level (elem. or middle) or subject area Address Telephone Number E-mail Address Signature Date 4. Grade Level 5. Content Area 6. Length One 2013-2014 Two Years 2013-2015 Three Years 2013-2016 7. Planned School District Partners Please attach a brief description of the proposed project (no more than 300 words,
FINALRFPforCycle11ITQG-DeadlinesExtended.docx