TMS Your Name (required) Your Email (please use your @fairfieldschools.org) Phone Position or Title School(s) receiving funds select all that apply ECCBurrDwightHolland HillJenningsMcKinleyMill HillNorth StratfieldOsborn HillRiverfieldShermanStratfieldFairfield WoodsRoger LudlowTomlinsonFairfield LudlowFairfield WardeWalter FitzgeraldCentral Office Is this a joint application? yesno Co-Applicant Name Co-Applicant Email Project Title What is the nature of your project? Online ToolSubscriptionMaterialsSeminar/TrainingEquipmentOther* *if other please expand here Project Objectives (please be specific) How many of those with special needs will be served by or benefit from this project? 1-1011-2525-5050-100100+District Wide What is your timeline?Immediatewithin 3 MonthsAnytime Are there other funding sources for this project? yesno Has this project been approved by your administrator? yesno Budget requested (up to $500) please include breakdown of expenses Is there anything you would like to add or any special considerations?