Preview Form
This is an example of the application questions with which you will be presented. It is recommended that you compose the answers to the paragraph questions in a word processing program and then cut and paste that text into the online application.
Contact Information
*First Name
(Text; 40 character maximum)
Instructions:
  • First Name
  • *Last Name
    (Text; 40 character maximum)
    Instructions:
  • Last Name
  • Address
    (Text; 100 character maximum)
    Instructions:
  • Address
  • City
    (Text; 50 character maximum)
    Instructions:
  • City
  • State
    (Single-Select List)
  • (Not Applicable)
  • Alabama
  • Alaska
  • American Samoa
  • Arizona
  • Arkansas
  • Armed Forces Africa/Canada/Europe/Middle East
  • Armed Forces Americas (except Canada)
  • Armed Forces Pacific
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Federated States of Micronesia
  • Florida
  • Georgia
  • Guam
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Marshall Islands
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Northern Mariana Islands
  • Ohio
  • Oklahoma
  • Oregon
  • Palau
  • Pennsylvania
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virgin Islands
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
  • Instructions:
  • State
  • Zip/Postal Code
    (Text; 20 character maximum)
    Instructions:
  • Zip or Postal Code
  • *Telephone
    (Text; 30 character maximum)
    Instructions:
  • Telephone
  • *E-mail Address
    (Text; 100 character maximum)
    Instructions:
  • E-mail Address
  • School District Contact Information
    *School District
    (Text; 255 character maximum)
    Instructions:
  • Legal Name
  • Address
    (Text; 100 character maximum)
    Instructions:
  • Address
  • City
    (Text; 50 character maximum)
    Instructions:
  • City
  • State
    (Single-Select List)
  • (Not Applicable)
  • Alabama
  • Alaska
  • American Samoa
  • Arizona
  • Arkansas
  • Armed Forces Africa/Canada/Europe/Middle East
  • Armed Forces Americas (except Canada)
  • Armed Forces Pacific
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Federated States of Micronesia
  • Florida
  • Georgia
  • Guam
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Marshall Islands
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Northern Mariana Islands
  • Ohio
  • Oklahoma
  • Oregon
  • Palau
  • Pennsylvania
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virgin Islands
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
  • Instructions:
  • State
  • Zip/Postal Code
    (Text; 20 character maximum)
    Instructions:
  • Zip or postal code
  • *Telephone
    (Text; 30 character maximum)
    Instructions:
  • Telephone
  • *E-mail Address
    (Text; 100 character maximum)
    Instructions:
  • E-mail Address
  • Information about School District
    Please note: Character count includes all spaces and text; 500 characters equal approximately 90 words or about 4 lines of text.
    Total School District Consolidated Operating Budget
    (No input required)
    Instructions:
  • Please enter the estimated school district consolidated operating budget (budget for daily operations of the school district, does not include capital expenses) for the 2013 - 2014 School Year and the total school district consolidated budget for the 2012 - 2013 Current School Year.
  • 2013 – 2014 (Estimated)
    (Currency; 15 character maximum)
    Instructions:
  • 2012 – 2013 Current School Year
    (Currency; 20 character maximum)
    Instructions:
  • Number of Students Served by the District
    (No input required)
    Instructions:
  • Please enter the number of estimated students to be served by the district in 2013 - 2014 and the number of students that are being served by the district in 2012 - 2013.
  • 2013 – 2014 (Estimated)
    (Number; 15 digit maximum)
    Instructions:
  • 2012 – 2013 Current School Year
    (Number; 15 digit maximum)
    Instructions:
  • Additional Funds Raised
    (Yes/No)
    Instructions:
  • Does the district or individual schools in the district raise any additional funds to supplement the school district/individual school budgets, i.e. through fundraisers or donations from civic groups, private foundations, the business community, individuals, etc.?
  • Sources of additional support for district.
    (Checkbox List)
  • School fundraisers (such as Parent Teachers Associations and Booster Clubs)
  • Business community (local or national)
  • Private foundations
  • Individuals
  • Civic groups(such as Rotary Club, Chamber of Commerce, Farmer’s Bureau, Lion’s Club)
  • Instructions:
  • (If previous answer is "Yes" as least one selection is required.) Please select all that apply.
  • Free and Reduced Lunch Eligibility
    (Single-Select List)
  • 5%
  • 10%
  • 15%
  • 20%
  • 25%
  • 30%
  • 35%
  • 40%
  • 45%
  • 50%
  • 55%
  • 60%
  • 65%
  • 70%
  • 75%
  • 80%
  • 85%
  • 90%
  • 95%
  • 100%
  • Instructions:
  • Please select the percentage of school children in the district that are eligible to receive free or reduced price lunches based on their family incomes or participation in Food Stamp or Temporary Assistance for Needy Families programs.
  • Agricultural Education Programs
    (Yes/No)
    Instructions:
  • Are there any Agricultural Education (Ag Ed) type programs in the schools in your district?
  • Types of Agricultural Education Programs
    (Checkbox List)
  • A FFA program
  • A school garden
  • Field/farm demonstration plot
  • A greenhouse
  • Vocational Agriculture curriculum or classes
  • Ag in the Classroom
  • Other
  • Instructions:
  • Which of the following types of Agricultural Education (Ag Ed) programs are there in the schools in your district? Please select all that apply.
  • Other
    (Text; 500 character maximum)
    Instructions:
  • If other, please specify
  • Request Information
    Please note: Character count includes all spaces and text; 500 characters equal approximately 90 words or about 4 lines of text.
    *Project / Program Title
    (Text; 255 character maximum)
    Instructions:
  • Please enter the Project / Program Title
  • *Request Type ($10,000 or $25,000)
    (Single-Select List)
  • $10,000
  • $25,000
  • Instructions:
  • Project / Program’s Primary Focus
    (Single-Select List)
  • Math
  • Science
  • Multi-disciplinary (such as algebra with applied physics, math with technology)
  • Instructions:
  • Select the primary focus of the project/program (where 75% or more of the content focus will be; for multi-disciplinary, the core content is integrated together at least 75% of the time).
  • Project/Program’s Primary Grant Request ($25k)
    (Single-Select List)
  • Technology Equipment or Materials to Innovatively Enhance Learning or Instruction
  • Curriculum Improvement (Enhancement or Adaptation)
  • Professional Development for Teachers or School Leaders to Enhance Learning or Instructions
  • Establishment / Enhancement of a Professional Learning Community in Math or Science Teachers
  • Instructions:
  • Please select the project/program's primary area of focus.
  • Project/Program’s Primary Grant Request ($10k)
    (Single-Select List)
  • Equipment or Materials (non-technology focused) to Enhance Learning or Instruction
  • Technology Equipment or Materials to Innovatively Enhance Learning or Instruction
  • Support for Extracurricular Activities to Apply Learning (Science Fairs, Science/Math Competitions)
  • Curriculum Improvement (Enhancement or Adaptation)
  • Professional Development for Teachers or School Leaders to Enhance Learning or Instructions
  • Establishment / Enhancement of a Professional Learning Community in Math or Science Teachers
  • Instructions:
  • Please select the project/program's primary area of focus.
  • Summary of Project / Program
    (Paragraph; 2000 character maximum)
    Instructions:
  • In no more than four sentences, please provide a brief summary of the project/program.
  • Description of Project / Program Goals
    (Paragraph; 2000 character maximum)
    Instructions:
  • Please describe the district’s project / program’s goal. What overall purpose does the project/program fulfill? If applicable, how does the requested project / program or materials fit into a larger program, goal, or approach of the school district?
  • Student Participants
  • Kindergarten #
  • 1st Grade Students #
  • 2nd Grade Students #
  • 3rd Grade Students #
  • 4th Grade Students #
  • 5th Grade Students #
  • 6th Grade Students #
  • 7th Grade Students #
  • 8th Grade Students #
  • 9th Grade Students #
  • 10th Grade Students #
  • 11th Grade Students #
  • 12th Grade Students #
  • Instructions:
  • Estimate the number of students to be impacted by project/program in the 2013/2014 school year. If none, enter 0.
  • Teacher/Specialist Participants
  • Math Teachers/Specialists #
  • Science Teachers/Specialists #
  • Instructions:
  • Estimate the number of teachers to be impacted by project/program in the 2013/2014 school year. If none, enter 0.
  • Race/Ethnicity of Participants Served
  • American Indian/Alaskan Native
  • Asian
  • Black or African American
  • Native Hawaiian/Other Pacific Islander
  • White/Caucasian
  • Hispanic or Latino
  • Other
  • Instructions:
  • Please fill numbers in the fields to describe the demographics of individuals expected to be served by the project / program.
  • Project / Program Participants
    (Paragraph; 2000 character maximum)
    Instructions:
  • Please describe in a brief narrative any further details about this particular target population and why they need this project / program, activity, or materials.
  • Details of Project / Program
    (Paragraph; 2000 character maximum)
    Instructions:
  • Please provide further details about the expected frequency of the project / program or activity (such as what will take place, how often it will occur and the number of hours of the activities/curricula/training); and specifics on any curricula or trainings to be utilized, including why they were selected.
  • Description of Project / Program Timeline
    (Paragraph; 2000 character maximum)
    Instructions:
  • Please provide an overview of the expected implementation timeline. Consider bulleting key timing indicators and activities. Please note, projects should begin no earlier than AUGUST 2013, after the grant is awarded.
  • Involvement in Implementation
    (Paragraph; 2000 character maximum)
    Instructions:
  • Briefly explain who will manage the success of the project/program and their past experience, if applicable, in creating or managing projects / programs such as this one.
  • Project / Program Impact – Short-term
    (Checkbox List)
  • Students increase their interest in math.
  • Students demonstrate new or increased depth of knowledge in math content and skills.
  • Students apply math knowledge and skills to classroom tasks or projects.
  • Students show gains in course grades and/or standardized test scores in math.
  • Teacher(s) apply new or more in-depth knowledge of math in the classroom.
  • Teacher(s) share new knowledge or skills in math with other teachers in the school or district.
  • Students increase their interest in science.
  • Students demonstrate new or increased depth of knowledge in science content and skills.
  • Students apply science knowledge and skills to classroom tasks or projects.
  • Students show gains in course grades and/or standardized test scores in science.
  • Teacher(s) apply new or more in-depth knowledge of science in the classroom.
  • Teacher(s) share new knowledge or skills in science with other teachers in the school or district.
  • Instructions:
  • Please select up to four intended short-term (during, at the project/program end or up to 3 months after) results of the project/program.
  • Project / Program Impact Description – Short term
    (Paragraph; 2000 character maximum)
    Instructions:
  • Please describe the intended short-term (during, at the project/program end or up to 3 months after) results of the project/program. If this project / program is already in existence, please describe evidence of success to date.
  • Project / Program Impact – Long term
    (Checkbox List)
  • Students increase their interest in math.
  • Students demonstrate new or increased depth of knowledge in math content and skills.
  • Students apply math knowledge and skills to classroom tasks or projects.
  • Students show gains in course grades and/or standardized test scores in math.
  • Teacher(s) apply new or more in-depth knowledge of math in the classroom.
  • Teacher(s) share new knowledge or skills in math with other teachers in the school or district.
  • Students increase their interest in science.
  • Students demonstrate new or increased depth of knowledge in science content and skills.
  • Students apply science knowledge and skills to classroom tasks or projects.
  • Students show gains in course grades and/or standardized test scores in science.
  • Teacher(s) apply new or more in-depth knowledge of science in the classroom.
  • Teacher(s) share new knowledge or skills in science with other teachers in the school or district.
  • Instructions:
  • Please select up to four intended longer-term (3-6 months after project/program end) results of the project/program.
  • Project / Program Impact Description – Long term
    (Paragraph; 2000 character maximum)
    Instructions:
  • Please describe the intended longer-term (3-6 months after project/program end) results of the project/program. If this project / program is already in existence, please describe evidence of success to date.
  • Impact Assessment
    (Checkbox List)
  • Knowledge/interest test or survey
  • Review of standardized test/scores/course grades
  • Student or classroom observations
  • Instructions:
  • Please indicate how the impact of the project/program will be assessed. Select all that apply.
  • Impact Assessment Description
    (Paragraph; 2000 character maximum)
    Instructions:
  • Please describe how the impact of the project/program will be assessed and by whom.
  • Sustainability
    (Paragraph; 2000 character maximum)
    Instructions:
  • How will the project/program results be sustained beyond the 2013/2014 school year? (Such as if there is a need for on-going resources as a result of implementing the proposed project / program, how does the district plan to meet those resource needs once the grant ends?) If the district has received grants similar to this one in the past, how did the district sustain the project / program or activities beyond the grant period?
  • Sustainability (continued)
    (Paragraph; 2000 character maximum)
    Instructions:
  • Especially for professional development grants, how will learnings be brought back and shared with others in the school/school district?
  • AFGRE Project / Program Grant Budget Template
    (File Upload; 10,485,760 byte limit)
    Instructions:
  • Please click here to download the AFGRE budget template. Please complete and upload.
  • AFGRE Project / Program Grant Budget
    (Paragraph; 2000 character maximum)
    Instructions:
  • Please provide a brief narrative of the anticipated revenues (if beyond the Monsanto Fund) and the top expenses to be supported by the AFGRE grant.