Assistive Technology Project Grant Application Please take a moment to review this page that describes the types of projects we fund: https://ruraltechfund.org/apply-for-grants/. Please ensure your application is SPECIFICALLY for Assistive Technology funding. Once you've completed the application, someone with the RTF will reach out to you when your application is reviewed. OK Question Title * 1. What is your name? OK Question Title * 2. What is your work e-mail address? OK Question Title * 3. What school or organization do you represent? OK Question Title * 4. What is your role in the school or organization? (Classroom teacher, resource teacher, speech-language pathologist, administrator, etc.) OK Question Title * 5. Where is your school or organization located (City, State)? OK Question Title * 6. How would you classify the demographics of your school? (check all that apply) Public School Private School Charter School High Poverty Urban Suburban Rural OK Question Title * 7. What age students do you teach/support (check all that apply)? Pre-K or Kindergarten Elementary Middle High Alternative Other (please specify) OK Question Title * 8. What type of classroom do you work in (check all that apply)? Co-taught Classroom Self-contained Classroom Resource Room Service-based Classroom Visits Other (please specify) OK Question Title * 9. What is the estimated cost of your project (your requested grant amount) and what items will you purchase with that funding? OK Question Title * 10. If you were to receive an RTF grant, what would you use it for? Please describe objectives for your classroom and include how many students could utilize the technology. OK Question Title * 11. What type of access would this project provide to your student(s)? OK Question Title * 12. How is Assistive Technology currently integrated into your school and/or classroom? OK Question Title * 13. Do you have the support needed to integrate this AT into your classroom and maintain it? Would you require additional support or resources? Please describe. OK Question Title * 14. Will the equipment be in one classroom or is it intended to travel with a specific student? OK Question Title * 15. If the AT is staying in the classroom, what type of support will be provided to students utilizing the AT when they exit your classroom? OK Question Title * 16. If you were to be awarded a grant, how quickly would you be able to integrate it into your curriculum? Immediately Within a couple months Within the school year Next school year OK Question Title * 17. Would you be willing to provide periodic updates to the RTF about your project? Yes No OK Question Title * 18. Where did you learn about the RTF? OK Please review your answers carefully. After clicking SUBMIT APPLICATION, your response will be sent to us for review. You will not receive a copy of your submission. OK SUBMIT APPLICATION