President: (Name) ________________________Signature: ___________________________ Vice-President: (Name) __________________ Signature: ___________________________ Members Name: _____________________________ Signature: ___________________________ Name: _____________________________ Signature: ___________________________ Name: _____________________________ Signature: ___________________________ Support: Concerns: (Report of the Local Education Agency must be forwarded to school/department/subdivision for submission to West Virginia Board of Education with the application/plan). (This Report Certification is not required of institutions of higher education in application or plan). Community/Business Partner Support Use this form to document community organization/agency support and partnership for the innovation dropout plan/project.
President: (Name) ________________________Signature: ___________________________ Vice-President: (Name) __________________ Signature: ___________________________ Members Name: _____________________________ Signature: ___________________________ Name: _____________________________ Signature: ___________________________ Name: _____________________________ Signature: ___________________________ Support: Concerns: (Report of the Local Education Agency must be forwarded to school/department/subdivision for submission to West Virginia Board of Education with the application/plan). (This Report Certification is not required of institutions of higher education in application or plan). Community/Business Partner Support Use this form to document community organization/agency support and partnership for the innovation dropout plan/project.
IZ%20STEM%20Application%202015%202016.docx