| Application for Extra Duty Clubs/Activities |
| Montrose County
School District RE-1J |
| Stipend for Fall |
| 2007 |
| Date
of Application: |
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| Name
of Person(s) Making Application: |
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| Name
of Club: |
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| Location
of Club: |
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| Length
of Time of Club in Total Weeks: |
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| Anticipated Number of Hours* for Entire
Semester/Year (circle one) for Club: |
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| *This
is for time spent with students outside of the school day. |
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| Approximate
Number of Students: |
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| If
Applicable list any performances, competitions, travel, etc.: |
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| Narrative
Explaination of Club Activities and potential goals/outcomes: |
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| Applicant(s)
Signature: |
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| Principal's
Signature: |
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Timelines |
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Application Available |
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9/1/2007 |
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Application Deadline |
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9/10/2007 |
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Committee
Decision/Notification |
9/15/2007 |
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Verification of
Completion to Principal |
1/15/2008 |
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Stipend Paid Out |
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1/25/2008 |
| Please
return the completed form BY September 10, 2007 to: |
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| Gordon
Gibson |
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| Assistant
Superintendent of Human Resources |
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For Office Use Only: |
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| 126
S. 5th St. |
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Received: |
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| PO
Box 10000 |
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Initialed: |
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| Montrose,
CO 81402 |
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