Lois Lenski Covey Foundation

2012 School Library Grant Application

School name ____________________________________________________ Grades served _________ Address _______________________________City__________________ State ____ Zip _____________ School website address _________________________________________________________________

A. TELL US ABOUT YOUR COMMUNITY

Tell us about the community in which your school is located. (Setting, economic conditions, and special circumstances are appropriate.)

B. TELL US ABOUT YOUR SCHOOL

Number enrolled ______ Percentage qualified for free or reduced lunch programs _________ %

Percentage of students reading below grade level: _________% Specify the percentage reading below grade level in individual grades: 1st ____%; 2nd ____%; 3rd ____% 4th _____%; 5th _____%; 6th _____%; 7th _____%; 8th _____% Tell us about pertinent school challenges and achievements. (Evidence of outstanding service to children is appropriate.)

C. TELL US ABOUT YOUR SCHOOL LIBRARY

Age of facility: _______ years Square footage of library: __________

Number of hours per week library is open during the school year: __________ hrs. Number of full time library staff: _____ Training of full time library staff: __________________________________________________________ Number of part time library staff _____, who work a combined ______ hours weekly. Training of part time library staff: _________________________________________________________ Please attach a two photos representative of the interior of your library. If you cannot provide photos, explain why here:

Number of library computers for students to use:

_________

Number of student computers elsewhere on campus: _________

(This includes all computers for students; including those in computer labs on campus no matter their location, computers on mobile computer carts, and classroom computers set aside for students.)

Number of individual pre-K through 8th grade students that use the library at least once a week: _________ individual students
(A number must be provided. It is important that this number accurately reflect the use of the library by individual children. Please estimate, as accurately as possible, the number of children that use your library in a weeks time. Do not count multiple visits as separate children.)

How many childrens books (books published for children pre-school through 8th grade) are in your collection? _______ (Do not include reference books, text books, or classroom collections.) In what condition are the childrens books? Provide percentages. ___ % Excellent (new and in good condition) ___ % Good (not new, but in good condition) ___ % Fair (well used, but not overly-deteriorated) ___ % Poor (significantly damaged, close to unusable)* *If more than 10% of collection is in poor condition, provide explanation:

What special programs does your library offer children to encourage reading and library use:

D. TELL US HOW LLCF GRANT FUNDS WILL BE USED

What type(s) of childrens books do you need?

How was this need determined?

How many childrens books are needed, at what total cost? Number of books: _______ Total cost: How has this cost determined? $ _______

What special plans (events, displays, publicity) do you have to use the acquisition of additional books to encourage greater library use and foster a love of reading?

E. TELL US ABOUT YOUR LIBRARY BUDGET

What are your historic and projected expenditures for the purchase of childrens books? (Books published for children pre-school through 8th grade.)
Use the table below to document dollar amounts from the last three years, and your projected amounts for 2012-13. Do not include a hoped-for Lenski Covey grant in 2012-13 projected amount. If your budget includes monies for non-literature items (overhead lamps, supplies, etc.), do not include that portion.

Budgeted *
2012-13 2011-12 2010-11 2009-10

Grants

$ Donations

Other Income **

Total ***

* dollars provided by the administrators of your library ** other fundraising such as book fairs, bake sales, etc. *** total of previous four columns

Complete budget information is required. We cannot accept applications where any of the above cells are blank; use 0 if appropriate. Provide the source of grants of $1,000 or more: Provide explanation of budgets that contain zero dollars, and any drop in budgeted dollars of over 50 percent:

F. ADDITIONAL INFORMATION (optional)

If desired, give additional information that you feel would be useful to our directors in considering your application by attaching no more than one extra page. The appended page needs to contain explanatory text that you have written yourself. Do not append book lists, printouts of state/local income data, or collection age lists. Check here if you have opted to add information: How did you learn of the Lois Lenski Covey Foundation library grant program?

For the Lois Lenski Covey Foundation's future use (not for 2012 applications), we would be interested in knowing if you have the capability of submitting your grant application and photo attachments electronically?

Yes

No

Name of contact person ___________________________ Position ____________________ Contact email address ____________________________ Phone number _______________ Date: _______________ Signed:_______________________________________________