Series 703.5.2P - Grant Application Summary (Grant Valued at $500 or More)
Adopted: May 2012
Revised: September 2012
Complete this grant application summary for any grant valued at $500 or more and for all state and federal grants. Attach the completed summary to a copy of your grant application and submit it to the director of finance and operations.
□ Check here if School Board approval is required as part of the grant application. Allow enough time for the application to be approved by the board; the School Board meeting schedule is available at www.district196.org.
Print or Type
Grant name
Name of organization sponsoring the grant
Grant application amount $ Grant application date
Brief description of grant
Name of school/department/program that will benefit from the grant
Name of grant applicant Position
Email Phone number
Submit this completed form and the grant application to:
Director of Finance and Operations
Independent School District 196
District Office
3455 153rd Street West
Rosemount, MN 55068
Questions: 651-423-7715
Finance use only
Director approval___________________________
Return to Director of Finance and Operations
Date received_________________________________ Grant application awarded □ yes □ no
Summary to Supt Office______________________ Board exhibit date if required ___________________
Grant application filed in Finance____________ Revenue account code___________________________
Retention date_______________________________
Procedures/703.5.2P/9-7-12