Summer Fellowship Follow Up

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Title of Project

Fellowship Grant Number

If you know it, enter Fellowship grant number as specified on grant award paperwork (e.g. 1-901)

Recipient Name

Email

School year when fellowship was awarded

School

Total funds granted

Total funds used

Amount to be returned to the Schools Fund

If you did not use all funds, MAIL A CHECK for this amount to Berkeley Public Schools Fund if the amount remaining is $10 or greater. Amounts less than $10 need not be returned.

Fellowship experience

Describe your fellowship experience and what you gained from it.

Budget

Describe total expenditures and how fellowship funds were used, including describing any variations from your original budget. If your fellowship was partially funded, describe if/how you made up the difference. Be as specific as possible.

Receipts

I have already sent all receipts to the Schools FundI will mail receipts to the Schools FundAll funds were paid directly to 3rd parties—I do not have receiptsThe Schools Fund requires that you provide receipts for all expenditures. Please MAIL ANY RECEIPTS that you have.

Implementation

How will you incorporate what you learned into your teaching this year?

Photos/media/samples

I have digital photos/videos (email to schoolsfund@berkeley.net)I have printed photos (mail to Schools Fund)I have other items (mail to Schools Fund)We always enjoy receiving and can sometimes use photos and video! Digital format is preferred but not required.

Would you be willing to be interviewed and/or videotaped by the Schools Fund about your experience?

YesNo

Additional notes or comments

Save my progress and resume later | Resume a previously saved form

Contact Information