2025 Conrad Toepfer Award Application

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* 1. Applicant First Name

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* 2. Applicant Last Name

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* 3. Email Address

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* 4. Phone Number

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* 5. Project Title

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* 6. Is this a program or project that has been completed, is in progress, or is in the planning stages?

Completed

In progress

Being planned

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* 7. Describe the purpose of the project, including how it benefits middle school students and how it is meaningful to them.

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* 8. Provide a timeline of/for implementation.

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* 9. Describe the project development process, including the role of student participants and other stakeholders involved in the project.

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* 10. Identify the outcomes the project is designed to accomplish.

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* 11. How have/will you measure the effectiveness of the project?

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* 12. Please attach a letter of support from an individual or entity whose endorsement would be critical to the program's success (a school or district administrator, community group, etc.)

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 13. Please attach a second letter of support that might be from any individual or entity likely to benefit from the program.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 14. If you are requesting a financial support grant, please attach a line-item budget here.

PDF, DOC, DOCX file types only.

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* 15. Describe how the project aligns with the middle school philosophy as outlined in The Successful Middle School: This We Believe/Dr. Toepfer's vision for young adolescents.