Utrust Mini-Grant Option Selection Form

School System*
Superintendent*
Email*
Have you received the Utrust Five Star Award?*
We continue to meet all Five Standards required for the Utrust Five Star Award*
- No
- Yes
Do you participate in the Utrust Appreciation Program?*
- No
- Yes
Please list the name of the System Coordinator*
Name
Choose one or more of the following options by December 31:*
- Designate all or a portion of funds for individual & groups of teachers to use in the classroom on a competitive basis.
- Designate all or a portion of funds for individual school projects.
- Designate all or a portion of funds for system-wide projects.
System Wide Amount:*
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Grant for Individual & Groups of Teachers for Use in Classroom. An application form is required to be filled out for each group or teacher before any grant funds will be awarded.
Choose evaluators*
- Applications are evaluated and awarded by a local team. Only successful applications submitted to Utrust.
- Applications are evaluated and awarded by a team of Utrust evaluators
Enter Amount:*
Grants for individual school projects. The next required step is for each school to fill out an application form. This is necessary before any mini-grant funds will be awarded.
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List School Names and Amount Designated for each:*
List School Names and Amount Designated for Each:*
School Name Amount
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Utrust - Appreciating, Developing, and Supporting School Staff

School Name	Amount