CO Council for Children with Behavioral Disorders
$250 Professional Development Mini-Grant Application
Page 1
PURPOSE
The CO CCBD Professional Development Mini-Grant was established to
support efforts of schools to increase the knowledge base of their staff
with regard to children with Emotional/Behavioral Disabilities.
ELIGIBILITY
Any member of CO CCBD is eligible to apply for this grant. Members of the
Board are not eligible to apply.
APPLICATION REQUIREMENTS
Only complete applications will be considered for funding. All applications must
be post-marked by February 28, 2012.
Please provide the following information.
Applicant’s Name:
CCBD Membership Number (required):
Home Address:
Home Phone Number:
Job Title and Location:
Work Address:
Work Phone number:
Project Title: ___________________________________
Budget Request ________________________________
How many students with Emotional Disabilities will benefit from
this grant? ______________________________________
Nominations must be postmarked by February 28, 2012
Scan and email nominations to:
Courtney Hertner
hertnercourtney@gmail.com
________________________________________________________________
Applicant’s Signature and Date
Supervisor’s Signature and Date
CO Council for Children with Behavioral Disorders
$250 Professional Development Mini-Grant Application
Page 2
Answer the following questions briefly, but thoroughly. Use additional
pages if needed.
1. Describe the characteristics and number of pupils that will benefit from this
project.
2. What is the main problem this project addresses?
3. Describe the project. Include goals, objectives, and materials that will be used.
4. How will you determine the success of the project?
5. Give a time schedule of events.
6. Give an itemized list of all materials that will be purchased. Include:
quantity, supplier, and cost.