Building Tomorrow's Leaders (BTL) Program Application

Building Tomorrow's Leaders (BTL) Program Application
Name of School District*
Name of Participating School*
Address*

Street Address

CityState / Province

Postal / Zip Code
Name of Principal*
Principal Email Address*
example@example.com
Name of Facilitating Teacher *
Facilitating Teacher Email Address*
example@example.com
Facilitating Teacher Phone Number
Please enter a valid phone number.
Grade-Level Participation

Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12
Estimated Number of Students*
When do you plan to offer the program? (check all that apply)*

Fall SemesterSpring SemesterOther
Please explain how your school will incorporate the BTL program into its setting (suggested formats may include, but are not limited to, regular class periods, two-hour time slots, and half-day or full-day workshops). Note: While all eight modules are encouraged, a minimum of six modules is required for reimbursement.*
Please explain why your school needs the BTL program and how your students will benefit from it.*
Please explain how the school plans to advise students on utilizing and demonstrating their leadership skills beyond the classroom.*
Your signature below indicates your assurances to do the following:
- Complete Budget Application (SFN 52929) and fully justify how funds will be used in the Comments section.
- Submit the student and teacher evaluations upon completion of the program.
- Submit Completion Report upon completion of the program.
- Submit claim for funds in the North Dakota WebGrants system.
BTL Budget Application Form

https://www.nd.gov/dpi/sites/www/files/documents/SFN%20Forms/SFN52929.pdf
Upload Completed Budget Application

Cancelof
School Administrator's Signature*

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