AUDIOBOOK EDUCATIONAL GRANT APPLICATION 
 BACKGROUND INFORMATION AUDIOBOOK PROJECT NAME:_______________________________________________ 
GRANT AMOUNT REQUESTED:______________ DATE SUBMITTED__________________ __ EXISTING 
PROJECT __ NEW PROJECT __ OTHER (please explain) PROPOSED PROJECT START DATE:___________ 
FUNDING NEEDED BY:____________ 
 APPLICANT INFORMATION 
APPLICANT'S NAME:_____________________________________________________ POSITION/TITLE:_______________________________________________________ 
SCHOOL/ORGANIZATION:__________________________________________________ EMPLOYER:_____________________________________________________________ 
EMPLOYER'S ADDRESS:___________________________________________________ OFFICE 
PHONE:_____________________ OFFICE FAX:________________________  
SCHOOL SITE INFORMATION 
NAME OF SCHOOL:___________________ SCHOOL DISTRICT____________________ 
SCHOOL ADDRESS:__________________________ COUNTY:_____________________ SCHOOL 
CONTACT PERSON:_________________ POSITION/TITLE:_______________ OFFICE PHONE:_____________________ 
OFFICE FAX:________________________ AUDIOBOOK PROJECT SITE(s):____________________________________________ 
PROJECT ADDRESS (if different):_______________________________________ PROJECT 
CONTACT PERSON:________________ POSITION/TITLE:_______________ OFFICE PHONE:_____________________ 
OFFICE FAX:________________________ SCHOOL PROFILE: __ELEMENTARY __INTERMEDIATE 
__MIDDLE __HIGH __ OTHER ________________________________________________________________ 
TOTAL ENROLLMENT:___________ PERCENT OF TITLE ONE STUDENTS____________ TOTAL STUDENTS 
TO PARTICIPATE IN PROJECT:_____________________________ 
 
PROJECT INFORMATION 
1. AUDIOBOOK PROJECT DESCRIPTION: please provide 
a brief project description: ______________________________________________________________________ 
______________________________________________________________________ ______________________________________________________________________ 
______________________________________________________________________  2. 
STATEMENT OF NEED: please describe the opportunity you have identified & how 
your project would address it: ______________________________________________________________________ 
______________________________________________________________________ ______________________________________________________________________ 
______________________________________________________________________  3. 
GOALS & OBJECTIVES: Please identify the specific goals of your project 
and the objectives you you expect to achieve. ______________________________________________________________________ 
______________________________________________________________________ ______________________________________________________________________ 
______________________________________________________________________ 4. AUDIOBOOK 
PROJECT UTILIZATION: Please outline your plans and the steps you will take 
to implement your project. For example, explain strategies, materials, or experiences 
to be used. ______________________________________________________________________ 
______________________________________________________________________ ______________________________________________________________________ 
______________________________________________________________________  5. 
AUDIOBOOK PROJECT IMPLEMENTATION: Please define your role and identify who 
would participate in implementing and utilizing the audiobook project. For example, 
teachers, students, aides, parents, principals, administrators, guidance counselors, 
community members, or other groups. ______________________________________________________________________ 
______________________________________________________________________ ______________________________________________________________________ 
______________________________________________________________________  C. 
CURRICULUM CONNECTIONS: Please list and or identify the correlation of the 
project to the core curriculum and state/district standards. ______________________________________________________________________ 
______________________________________________________________________ ______________________________________________________________________ 
______________________________________________________________________  
PROJECT CONDITIONS & FOLLOW UP 1. An evaluation report will be completed 
and returned to the office granting the budget for this project to include: Delivery 
of materials and responses from all participants involved in project, 90 days 
after implementation. 2. Detailed descriptions of how the grant funds were actually 
spent must accompany the initial report. 3. Project coordinator agrees to track 
and evaluate results from audio-book project and submit in a report at the end 
of a 12 month period. 4. Project participants agree to share project and results 
with other educators outside of, and within their own district.  
PROJECT BUDGET  Audiobook project cost: As accurately as possible, 
please estimate your total audiobook project costs in each applicable category. 
Add or change categories as needed. Audiobooks (listing quantity and total)_____________________ 
$____________ Supplementary texts and books: $____________ Supplies, materials 
and equipment (please list and provide costs of each) ___________________________________________________________ 
$____________ ___________________________________________________________ $____________ 
___________________________________________________________ $____________ ___________________________________________________________ 
$____________ Other printed materials or software: $____________ Other expenses 
(please list and provide costs for each) ___________________________________________________________ 
$____________ ___________________________________________________________ $____________ 
___________________________________________________________ $____________  
Estimated total audiobook project cost: $____________ Funding sources: Please 
identify other sources of funds committed to your project. Grant: $____________ 
Contributions/Donations: $____________ School Budget: $____________ Civic groups 
or community organization: $____________ Other:_____________________________________________________ 
$____________  Estimated total funds from other sources: $____________ 
Total dollars requested for project: $____________  
SIGNATURES Applicants signature:_____________________________________ 
Date:_________ School Principal/Administrator's name (please type or print)_______________________________ 
Date:_________ School Principal/Administrator's signature:________________________________ 
Date:_________ Site Supervisor's Name(if required)______________________________________ 
Site Supervisor's signature:______________________________ Date:_________  
OTHER COMMENTS (OPTIONAL) _________________________________________________________________________ 
_________________________________________________________________________ _________________________________________________________________________ 
_________________________________________________________________________ _________________________________________________________________________