THE SCHOOL DISTRICT OF PHILADELPHIA
GRANTS COMPLIANCE OFFICE (GCO)
GRANT FUNDED PD / EC REQUEST FORM
A. YEAR FUND AGENCY ORG. ACTIVITY OBJECT JOB# / RPTG B. ✔ INITIAL REQUEST
2016 201X G02 2520 1101 1511 REQUEST CHANGE
C. TYPE OF ACTIVITY (please check one)
✔ EXTRACURRICULAR PROFESSIONAL DEVELOPMENT SUMMER
D.
PROJECT TITLE: _F_i_rs_t_i_n_M__a_th________________________________ DATES OF OPERATION: FROM: _1_0_/2_0_/_1_5__ TO: _5_/3_1_/_1_6____________
CONTACT PERSON: _S_i_o_u_d_a_D_o_u_g_l_a_s_/J_e_n_n_if_e_r_J_a_c_k_so_n_____________________PHONE NO: _2_1_5_-_9_5_2_-6_2_2_4________ E-MAIL: _s_c_h_es_t_n_u_t@__p_h_i_la_s_d_.o_r_g____
NAME OF SCHOOL / OFFICE: _A_._S_._J_e_n_k_s_S_c_h_o_o_l__________________________________________________________________________
E. PLEASE PROVIDE A BRIEF DESCRIPTION OF THE ACTIVITY. THIS INFORMATION MUST BE INCLUDED
Include the following: 1) who are the participants being compensated? 2) What is the program intended to accomplish? 3) How does the activity tie to the
grant requirements and Schoolwide Plan, if applicable?)
First in Math is a supplemental math program to support students' numeration and computation skills from grades kindergarten through fifth. This program is offered
to students in the mroning for 45 minutes before the school day begins. The program supports the need for math fluency to allow students to focus on problem
solving.
APPROVALS / SIGNATURES
F. REQUESTOR (PRINCIPAL / ADMINISTRATOR) DATE G. GRANTS COMPLIANCE MONITOR DATE
APPROVED: YES NO
This form should only be used when federal funds are to be used for the proposed PD / EC event. 3/17/2013
Grant Funded PD / EC Request Form