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William O. VandenBerg M.D. Scholarship Form

Teacher Awards & Scholarships

Please email any course related information to or mail to: 2915 Hall St. SE, Grand Rapids, MI 49506.
Is this a: (please check one)
Please provide an estimate of costs including: Tuition, Travel, Meals, Course Materials, Lodging and any Miscellaneous expenses.
Please indicate the name of additional funding sources (if any) and the amount which each source will be supporting your request in addition to the funds being requested from EGRSF. Please indicate if your request could be funded partially by EGRSF and still be viable.
Please submit a written statement describing your grant including goals and expected outcomes.
Please describe how the class/workshop/seminar will enhance your quality of teaching in your specific academic area.
Please address how your request relates to curriculum and the strategic goals of the building and/or district. Secondly. address how it will enhance teaching and/or learning in the classroom/district.
Please address how your request will be used in the classroom and/or with the students. Give specifics regarding implementation, use and how it will enhance teaching and/or learning in your classroom.
I will be submitting additional material via email to or via mail to EGRSF 2915 Hall St. SE, Grand Rapids, MI 49506:

Please be sure to send all course information, cost substantiation, and any other related information no later than May 1 to or mail it to:
2915 Hall St. SE
Grand Rapids, MI 49506
An evaluation and accounting of funds are due 30 days after course completion. The final reimbursement request should be delivered with the evaluation.