Grant Amount Requested $ STC Director Printed Name STC Director Signature Date STC Financial Contact Printed Name STC Financial Contact Signature Date STC Special Education Coordinator/Contact STC Special Education Coordinator/Contact Date Printed Name Signature FOR ALSDE ONLY DATE RECEIVED: ____________________ NUMBER OF APPLICATIONS: __________ APPROVED GRANT NUMBER: _________ TOTAL AMOUNT GRANTED $_______________________________
Grant Amount Requested $ STC Director Printed Name STC Director Signature Date STC Financial Contact Printed Name STC Financial Contact Signature Date STC Special Education Coordinator/Contact Printed Name STC Special Education Coordinator/Contact Signature Date FOR ALSDE ONLY DATE RECEIVED: ____________________ NUMBER OF APPLICATIONS: __________ APPROVED GRANT NUMBER: _________ TOTAL AMOUNT GRANTED $_______________________________
STC%20funding%20Application%20FY19%20Fill%20In%20Form.docx