Ed Long Early Childhood Grant

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Please complete form by October 1, 2022

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First and Last Name *

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Phone number *

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Email address *

Your answer

Name of school *

Your answer

Grade level(s) to benefit the grant *

ECC

PreK

K

1st

2nd

3rd

Required

Project/Grant Money Use *

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Amount Requested (up to $500) *

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Additional Information *

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Have you ever received the Ed Long Early Childhood Grant before? *

Yes

No

How would you like for us to contact you? *

Email

Phone

Other:

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