AUDIOBOOK EDUCATIONAL GRANT APPLICATION 
BACKGROUND INFORMATION 
AUDIOBOOK PROJECT NAME:_______________________________________________ 
GRANT AMOUNT REQUESTED:______________ 
DATE SUBMITTED__________________ 
__ EXISTING PROJECT __ NEW PROJECT __ OTHER (please explain) 
PROPOSED PROJECT START DATE:___________ FUNDING NEEDED BY:____________  

APPLICANT INFORMATION 
APPLICANT'S NAME:_____________________________________________________ 
POSITION/TITLE:_______________________________________________________ 
SCHOOL/ORGANIZATION:__________________________________________________ 
EMPLOYER:_____________________________________________________________ 
EMPLOYER'S ADDRESS:___________________________________________________ 
OFFICE PHONE:_____________________ OFFICE FAX:________________________  

SCHOOL SITE INFORMATION 
NAME OF SCHOOL:___________________ SCHOOL DISTRICT____________________ 
SCHOOL ADDRESS:__________________________ COUNTY:_____________________ 
SCHOOL CONTACT PERSON:_________________ POSITION/TITLE:_______________ 
OFFICE PHONE:_____________________ OFFICE FAX:________________________  
AUDIOBOOK PROJECT SITE(s):____________________________________________ 
PROJECT ADDRESS (if different):_______________________________________ 
PROJECT CONTACT PERSON:________________ POSITION/TITLE:_______________ 
OFFICE PHONE:_____________________ OFFICE FAX:________________________ 
SCHOOL PROFILE: __ELEMENTARY __INTERMEDIATE __MIDDLE __HIGH __
OTHER ________________________________________________________________ 
TOTAL ENROLLMENT:___________ PERCENT OF TITLE ONE STUDENTS____________ 
TOTAL STUDENTS TO PARTICIPATE IN PROJECT:_____________________________  

PROJECT INFORMATION  
1. AUDIOBOOK PROJECT DESCRIPTION: 
please provide a brief project description: 
______________________________________________________________________ 
______________________________________________________________________
______________________________________________________________________ 
______________________________________________________________________ 
2. STATEMENT OF NEED: please describe the opportunity you have identified 
& how your project would address it: 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 
3. GOALS & OBJECTIVES: Please identify the specific goals of your project 
and the objectives you you expect to achieve. 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 
4. AUDIOBOOK PROJECT UTILIZATION: Please outline your plans and the steps 
you will take to implement your project. For example, explain strategies, 
materials, or experiences to be used. 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 
5. AUDIOBOOK PROJECT IMPLEMENTATION: Please define your role and identify 
who would participate in implementing and utilizing the audiobook project. 
For example, teachers, students, aides, parents, principals, administrators, 
guidance counselors, community members, or other groups. 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 

C. CURRICULUM CONNECTIONS: Please list and or identify the correlation of 
the project to the core curriculum and state/district standards. 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 
______________________________________________________________________ 

PROJECT CONDITIONS & FOLLOW UP 
1. An evaluation report will be completed and returned to the office granting 
the budget for this project to include: Delivery of materials and responses 
from all participants involved in project, 90 days after implementation. 
2. Detailed descriptions of how the grant funds were actually spent must 
accompany the initial report. 
3. Project coordinator agrees to track and evaluate results from audio-book 
project and submit in a report at the end of a 12 month period. 
4. Project participants agree to share project and results with 
other educators outside of, and within their own district. 

PROJECT BUDGET  Audiobook project cost: As accurately 
as possible, please estimate your total audiobook project costs in each applicable 
category. Add or change categories as needed. 
Audiobooks (listing quantity and total)_____________________ $____________ 
Supplementary texts and books: $____________ 
Supplies, materials and equipment (please list and provide costs of each) 
___________________________________________________________ $____________ 
___________________________________________________________ $____________ 
___________________________________________________________ $____________ 
___________________________________________________________ $____________ 
Other printed materials or software: $____________ Other expenses 
(please list and provide costs for each) 
___________________________________________________________ $____________ 
___________________________________________________________ $____________ 
___________________________________________________________ $____________ 
Estimated total audiobook project cost: $____________ 
Funding sources: Please identify other sources of funds committed to your project. 
Grant: $____________ Contributions/Donations: $____________ School Budget: $____________ 
Civic groups or community organization: $____________ 
Other:_____________________________________________________ $____________ 
Estimated total funds from other sources: $____________ 
Total dollars requested for project: $____________  

SIGNATURES 
Applicants signature:_____________________________________ Date:_________ 
School Principal/Administrator's name (please type or print)_______________________________ Date:_________ 
School Principal/Administrator's  signature:________________________________ 
Date:_________  Site Supervisor's Name(if required)______________________________________ 
Site Supervisor's signature:______________________________ Date:_________  

OTHER COMMENTS (OPTIONAL) 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________