(To be eligible, advocate must have met items stated in the e-train agreement)

Advocate Name:

Email:

Goal (Please clearly state the educational technology goal that this mini-grant will help you meet):

How will the requested items help you meet your goal?

Requested technology (please specify the item (including model number), possible source information, and expected costs):

Total requested: $

Implementation timeline:

Method for sharing final product (evidence that you have achieved your goal):

I have read the etrain agreement and meet the terms specified in the e-train agreement.

Sign with initials:
(your signature indicates that you understand the terms and conditions related to the technology purchased with etrain grant funds)