MULTICULTURAL YOUTH LEADERSHIP SUMMIT TRAVEL GRANT

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GRANT DEADLINE: APPLICATIONS ARE NOW CLOSED | PLEASE RETURN NOVEMBER 2018

Applicant Name	Principal Name
Applicant Work Address	Principal Work Address
Applicant Email	Principal Email
Applicant Phone Number	Principal Phone Number

School District

School

If your school is not on the list, please contact Ksenia Choate at kchoate@utah.gov or 801-245-7265

Title 1 School?

Grade Levels of Students

Projected Number of Attendees

Estimated Total Costs of Travel to Salt Lake County and lodging: Please enter dollar amount without the dollar sign (e.g., "50" or "50.75")

Cost of Travel

How much will it cost to pay for gas, bus tickets, or other means of transportation?

Cost of Lodging (if applicable)

How much will it cost to pay for a hotel, AirBnB, or other types of accommodation? This is not required if you don't need a place to stay.

Please respond to the questions listed below. Each answer should be completed with full sentences. 500 words max.

If your school has participated in the Multicultural Youth Leadership Summit before, what influence has it had on participants? Please provide an example where former participants’ experiences directly impacted the school community.

If your school has not participated in the past, what are your specific goals and objectives for attending? Please provide an example of how this event could positively impact your students’ high school completion and access to higher education systems?

What is the level of emphasis on higher education and technical programs at your school? If there should be any areas of improvement what would those be and why?

Optional: Is there anything else you would like to share with the selection committee?

By clicking the "Submit" button, I agree, if awarded this grant, to attend a conference call prior to the event and submit a follow up report (to be submitted by two weeks post Summit attendance for reporting purposes) containing the following information:

1. Grant recipient’s name

2. School name

3. School district

4. Attendance

5. Mileage cost

6. Hotel cost

7. Parent Questionnaires

8. 2-3 student and educator testimonials sharing Summit experience

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