UW-L and La Crosse School District Collaborative Grant Interest Form

If you have a collaborative grant idea you would like the Grant Steering Committee to consider, complete the Grant Interest Form and return it to Amery Bodelson. Contact Amery for more information on future meeting dates or on UW-L/School District collaborative grants. 

Return completed form to:

Amery Bodelson
145 Graff Main Hall
University of Wisconsin-La Crosse
La Crosse, WI  54601
bodelson.amer@uwlax.edu
608-785-8050 (phone); 608-785-8046 (fax)

1.  Contact Information:

UW-L Contact Person for Project:

Name:                   

 

Position:

Department:

 

Phone:

Email:

 

Role in project: 

 

La Crosse School District Contact Person for Project:

Name:         

                                 

Position: 

School:     

 

Phone:     

Email:        

 

Role in project:      

 

2. Project Title:    

 

 

3. Project Description. Please briefly describe your project, addressing the needs, goals, activities, outcomes, and personnel (if known) of the proposed project.