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EARLY EDUCATION INITIATIVE GRANT 2014-2015Cover Page

Fill-in all of the required information:

Name of Grant Applicant/ Fiscal Agent

Name:Address:

Contact Person: Name: Title:Email Address: Phone:

Public School Lead:(if different than contact)

Name: Title:Email Address: Phone:

Community Program Lead:(if different than contact)

Name: Title:Email Address: Phone:

Towns to be Served:Grant Amount Request:

$

How many children do you propose to serve (not in census)?Proposed Scope of Work:Provide a summary of the proposed activities and services the grant would fund, how many children will be served, how families will be involved, and who the partners are.This section may be single-spaced.