ࡱ> fhe%` ^Ebjbj _̟̟BBBBBBB$d,,,P| <$ +8h|!"|*******$,hg/ +uB%%% +BB+)))%BB*)%*))BB)\ aC, &()*T+0+) 02&p 0) 0B)##^)#L?$### + +)###+%%%%$ $ $ d$ $ $ f4"BBBBBB Innovative Technology Grant Application Form July 1, 2008 June 30, 2009 Instructions: Complete all sections of this form and return it electronically by September 15, 2008  HYPERLINK "mailto:state-federal-grants@ksbor.org" state-federal-grants@ksbor.org Patricia Altwegg, Ph.D. Associate Director of Career and Technical Education Workforce Education and Program Accountability Kansas Board of Regents 1000 SW Jackson, Suite 520 Topeka, KS 66612-1368 Telephone: (785) 296-0620  HYPERLINK "mailto:paltwegg@ksbor.org" paltwegg@ksbor.org  FORMTEXT       NAME OF INSTITUTION  FORMTEXT        FORMTEXT       ( FORMTEXT    )  FORMTEXT       PRESIDENT E-MAIL TELEPHONE  FORMTEXT        FORMTEXT       DATE SUBMITTED AMOUNT REQUESTED BRIEF DESCRIPTION OF EXPENDITURE (What are you purchasing)  FORMTEXT       Identification of Primary Institutional Contact:  FORMTEXT        FORMTEXT       NAME TITLE  FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT       ADDRESS CITY STATE ZIP ( FORMTEXT    )  FORMTEXT        FORMTEXT       ( FORMTEXT    )  FORMTEXT       FAX E-MAIL TELEPHONE Previous Innovative Technology Grant:  FORMCHECKBOX  Yes  FORMCHECKBOX  No (If yes, please list years grant was awarded)  FORMTEXT       What is the estimated number of individuals impacted by this project?  FORMTEXT       Innovative Technology Grant Application Form BUSINESS/INDUSTRY PARTNER INFORMATION  FORMTEXT       NAME OF COMPANY  FORMTEXT        FORMTEXT       ( FORMTEXT    )  FORMTEXT   '(,89HIK     _ h ŽŽŵzume^Z^h N h|h Nh NCJaJh|h ]f5 h ]f5hh 0J5jhh 5Uh h 5jh 5U h 5 h N5 hZ5h|h N5h OJQJh NOJQJh7Fh N5:CJ(aJ(h$h N5:CJ$aJ$h$h N:CJ$aJ$h$h NCJ$aJ$!-JK  U L N P x D z X gd X i'gd i'gd Ngd N$a$gd ]f$a$gdZ$a$gd N(E\E " $ H J L P R f h j t v x ʼ{g\H&jhhE>*OJQJUhmh NOJQJ&j^hhE>*OJQJU h N5h\Boh N>*OJQJ%jh>*OJQJUmHnHu&jhhE>*OJQJUh>*OJQJjh>*OJQJUh NCJaJh Nh|h N0Jjh|h NU h|h Njh|h NU       2 4 6 @ B D V z | ~ ʶ֠璉ubZUNEh>*OJQJ h N5>* h N5hmh N5%jhf/#>*OJQJUmHnHu&jhf/#h>*OJQJUhf/#>*OJQJjhf/#>*OJQJU+jh>Fh>*OJQJUmHnHu&jNh>FhE>*OJQJUh>Fh>*OJQJ jh>Fh>*OJQJUhmh NOJQJjh>*OJQJUz | p   * e^gd  n'Z^gd^gd^gd N n'^gd n'^gd"0 n'^gd N H J ^ ` b l n p    4 V øqlglgbgbVKD h"05>*jh"05>*Uhh5CJaJ h5 h"05 h N5+jh"0h"0>*OJQJUmHnHu&jh"0hr>*OJQJUh"0h"0>*OJQJ jh"0h"0>*OJQJUh"0h"0OJQJh"0OJQJ%jh>*OJQJUmHnHujh>*OJQJU&j.hhE>*OJQJU 024>@ɽ~kcUL8U&jhh>*OJQJUh>*OJQJjh>*OJQJUhOJQJ%jh>*OJQJUmHnHu&jhhE>*OJQJUh>*OJQJjh>*OJQJU h N5>*h NCJaJ h N5hh5CJaJh"05CJaJ jh"05>*UmHnHujh"05>*U!jh"0hr5>*U&(*24Z:<Pynfn޷Rf޷&jhh>*OJQJUhOJQJhhOJQJ%jh>*OJQJUmHnHu&jhhE>*OJQJUh>*OJQJjh>*OJQJUh>*OJQJ h5hh5 h N5hT ih>*OJQJjh>*OJQJU%jh>*OJQJUmHnHuPRTXZ|~:<޺ޛocOo&jfhZhE>*OJQJUhZh>*OJQJ jhZh>*OJQJUh N h>F5 h5hh5 h N5hT ihOJQJ&jh ]fh>*OJQJUh>*OJQJhOJQJ%jh>*OJQJUmHnHujh>*OJQJU&jvhh>*OJQJU *,.|~Ϳsk`OCh>Fh>*OJQJ jh>Fh>*OJQJUhmh NOJQJh>FOJQJ&jR hhE>*OJQJUh NOJQJ%jh>*OJQJUmHnHu&jhhE>*OJQJUh>*OJQJjh>*OJQJUh/Yh NOJQJ jhZh>*OJQJU+jhZh>*OJQJUmHnHu,> 0ۺ|tojof_f_fWfLWf_fWfj h NUjh NU hk=h Nh N h>F5 h N5hh N5%jh>*OJQJUmHnHu&j4 hhE>*OJQJUh>*OJQJjh>*OJQJUhmh NOJQJ+jh>Fh>*OJQJUmHnHu jh>Fh>*OJQJU&j h>FhE>*OJQJUvx"$Lnp d <`'gd N gd N `'gd N x4 !&gd Ngd N$ `'a$gd N `'gd N HX `'gd"0 &gd N ^gd N0246<NPdfhrtvxzƲϟϑsϟkcXLXLh$h N:CJ$aJ$h$h NCJ$aJ$h NCJ$aJ$h;4(h N5&j hhE>*OJQJUh1Jh N5>*h/Yh N5>*OJQJ%jh>*OJQJUmHnHu&j hhE>*OJQJUh>*OJQJjh>*OJQJUh"0 hk=h Nh Njh NUj h NU "$&:<JlnprλqhTqqIqhhmh NOJQJ&j huhE>*OJQJUhu>*OJQJjhu>*OJQJUh7;h N5CJaJh7;h N51jv huhE>*OJQJUmHnHuhu>*OJQJmHnHu%jhu>*OJQJUmHnHu h N5>*hU6h N5 h N5 h N>* h7Fh Nh Nh$h N5:CJ$aJ$888888,888888$9øwua޸YTYTYOKh N h N>* h N5h7;h N5&j,huhE>*OJQJUUhu>*OJQJ"jhuOJQJUmHnHu#j huhEOJQJUhuOJQJjhuOJQJUhmh NOJQJh NOJQJ%jhu>*OJQJUmHnHujhu>*OJQJU&jX huhE>*OJQJU      PRESIDENT/CEO E-MAIL TELEPHONE Identification of Business/Industry or Agency Representative:  FORMTEXT       NAME  FORMTEXT       TITLE  FORMTEXT       ADDRESS  FORMTEXT        FORMTEXT     FORMTEXT       CITY STATE ZIP ( FORMTEXT    )  FORMTEXT        FORMTEXT       ( FORMTEXT    )  FORMTEXT       FAX E-MAIL TELEPHONE Please provide a brief explanation/description of the business/industry.  FORMTEXT       Innovative Technology Grant Application Form 1. Identify the new course/program. (Other courses or programs cannot exist within 100 miles of site, etc.)  FORMTEXT       2. Identify the competencies to be attained by students enrolled in the innovative technical course/program.  FORMTEXT       3. Describe the occupations for which students will be prepared and how this project will impact workforce development and/or meet workforce demand.  FORMTEXT       4. Describe current and projected job market demand and job opportunities for students completing proposed course/program.  FORMTEXT       5. Provide a list of business/industry partners supporting the project.  FORMTEXT       6. Will the institution be submitting a New Program Approval request for a Technical Certificate or an Associate Degree related to this project?  FORMTEXT       7. When the funding period ends, what are the plans for sustainability of the project?  FORMTEXT       8. Briefly describe how the grant and matching funds will be used.  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