FY23 21CCL SALT Grant Intent to Apply

Please complete the following questions to indicate your intent to apply for a 21st Century Community Learning Centers Supporting Additional Learning Time Grant (FC647 - Competitive) by May 20, 2022

Submission of the Intent to Apply does not obligate the applicant to submit a proposal.

Please refer to the Funding Opportunity - Request for Proposal documents for information about eligibility requirements and max. number of sites for which you may apply.

Please note that you will not receive confirmation of your submission of this intent beyond the thank you page at the end this.

1. Contact Information for Lead Applicant

Contact Name:
School District or Organization Name:
City/Town:
Email Address:

2. District Applicants -Please list school(s) that will be included in your application.

Space Cell	School Name #1	School Name #2
Name	Name: School Name #1	Name: School Name #2
Model Type (ELT or OST)	Model Type (ELT or OST): School Name #1	Model Type (ELT or OST): School Name #2

3. Non School District Applicants List Partnering School(s)

School District t Name:
School Name #1:
School Name #2