Great Schools Quality Grant Application Form
(This page should be included along with other written materials for those interested in the "Beginners" or "Veterans" grants)

You should mail (or FAX) the grant application form and other written pages to:

WEAC
Campus for Teaching and Learning
Attention: Russ Allen
33 Nob Hill Drive
P.O. Box 8003
Madison, WI 53708-8003
(608) 276-8203 (FAX)

Name of your project or program: ___________________________________________

Name of Association/UniServ: ______________________________________________

Amount of grant funds requested: ____________________________________________
(must not exceed $4,000)

Type of Grant:

_____ For Beginners

_____ For Veterans

Name of Association/UniServ President: ______________________________________

Signature of Association/UniServ President: ____________________________________

Address of Association/UniServ : ____________________________________________

Name of project coordinator (if not Association/UniServ President): __________________

_____________________________________________________________________

Signature of project coordinator: ____________________________________________