| Name ___________________________________________________________________
Address _________________________________________________________________
City___________________State ______ Zip Code_________ Home Phone ___________
School Name ________________________ Grade level ____ Work Phone____________
Pre-service
teacher ($100 grant maximum)
Please print and send a membership
form.
First Year Member ($100 grant maximum)
Please print and send a membership
form.
Current Member ($250 grant maximum)
Membership
expiration date: (see your mailing lable) ________________
Brief Description of Mini-Grant
Project. (Use space on this page only)
(1) NCTM
Principals & Standards or ODE Academic Content Standards for Mathematics
addressed by this project: __________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
(2) Instructional procedures: _______________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
(3) Materials required for implementation of project: ___________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
(3) Grade Level: __________
Materials requested from GCCTM for implementation of mini-grant: (include
the
company and cost breakdown) ______________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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