CLTA Grants Application Form

Apply Early Completed Nominations/Applications must be postmarked no later than January 5, 2009.

CLTA GRANTS 2009 Application Form

Be sure to review the scoring criteria in preparation for submitting this Application Form.

Please indicate which grant(s) by checking below: _____French Government Grant (Scoring criteria) _____Goethe Institut Grant (Scoring criteria) _____Instituto Italiano Grant (Scoring criteria) _____Japan Foundation Grant (Scoring criteria) _____Chinese Government Grant (Scoring criteria) _____Spanish Embassy Grant (Scoring criteria) _____Cuernavaca Grant (Scoring criteria) _____Quebec Grant ((Scoring criteria) _____Memorial Scholarship (Scoring criteria) _____Sydney Gorman Scholarship (Scoring criteria)
_____ LangAbroD - Check if you would also like to be considered for a LangAbrod Grant which provides additional funding for travel expenses. If you are applying for one of the above grants, no additional documentation is necessary. Just check this item.

Applicant (PLEASE PRINT)

Name _______________________________________________ Social Security #_____________________________

Home Address _______________________________________ City _____________________ ZIP ____________

Home Phone _________________ Work Phone ________________ E-mail ________________________________________

Subjects Taught __________________________________Affliliate Membership ________________________

District Name _________________________________Superintendent ________________________________

School ______________________________________ Principal _________________________________

School Address _____________________________________ City______________________ZIP ______________

After completion of the grant project, will you be willing to submit a written report for publication in the CLTA News or present a report to the membership at CLTA's Annual Conference? YES NO

Have you been a recipient of this grant in the previous four years? YES NO

Supporting Documents

One original and 3 copies of the documents* listed below must accompany this application form.

_____ evidence that the applicant has been a member of CLTA for 2 years, this year and preceding. You can get E-mail confirmation from membership chair Marge Sotomayor, mjsotomayorsuddenlink.net.
_____ brief professional résumé/CV, original and three copies*
_____ letter written by applicant describing 1) motivation for applying for this grant, 2) how the grant will help the applicant to improve his/her teaching skills, 3) projected impact on the applicant's students and classroom activities (original and three copies)*
_____ evidence that the applicant is currently employed as a teacher of world languages other that English
_____ a recent photograph (one)
_____ recommendations* from three people (below), orignal and three copies of each

1) Name and Position________________________________________Phone____________________

2) Name and Position________________________________________Phone____________________

3) Name and Position________________________________________Phone____________________

You may want to provide those who write letters of recommendation with the scoring rubric so that they can address the areas of the rubric.

Nomination postmark: January 5, 2009 SEND NOMINATIONS/APPLICATIONS TO

Lewis Johnson, Awards Committee Chairperson, 13119 Tawya Road, Apple Valley, CA 92308

For awards questions, contact Lewis Johnson at lewisjohnsoncharter.net or (760) 953-0659 (e-mail preferred).

Completed Nominations/Applications must be postmarked no later than January 5, 2009.