2007-08 Teacher Supplement Application Application must be received by the Iowa Farm Bureau by 4:30 p.m. on Feb. 1, 2008. Iowa Farm Bureau Federation, ATTN: Ag in the Classroom, 5400 University Avenue, West Des Moines, IA 50266.

First Name:		School:
Last Name:		School District:
Home Address:		School Address:
Home City:		School City:
Home State:	AL AK AB AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY	School State:	IA
Home County:	Please Select a County Adair Adams Allamakee Appanoose Audubon Benton Black Hawk Boone Bremer Buchanan Buena Vista Butler Calhoun Carroll Cass Cedar Cerro Gordo Cherokee Chickasaw Clarke Clay Clayton Clinton Crawford Dallas Davis Decatur Delaware Des Moines Dickinson Dubuque Emmet Fayette Floyd Franklin Fremont Greene Grundy Guthrie Hamilton Hancock Hardin Harrison Henry Howard Humboldt Ida Iowa Jackson Jasper Jefferson Johnson Jones Keokuk Kossuth Lee Linn Louisa Lucas Lyon Madison Mahaska Marion Marshall Mills Mitchell Monona Monroe Montgomery Muscatine OBrien Osceola Page Palo Alto Plymouth Pocahontas Polk Pottawattamie Poweshiek Ringgold Sac Scott Shelby Sioux Story Tama Taylor Union Van Buren Wapello Warren Washington Wayne Webster Winnebago Winneshiek Woodbury Worth Wright	School County:	Please Select a County Adair Adams Allamakee Appanoose Audubon Benton Black Hawk Boone Bremer Buchanan Buena Vista Butler Calhoun Carroll Cass Cedar Cerro Gordo Cherokee Chickasaw Clarke Clay Clayton Clinton Crawford Dallas Davis Decatur Delaware Des Moines Dickinson Dubuque Emmet Fayette Floyd Franklin Fremont Greene Grundy Guthrie Hamilton Hancock Hardin Harrison Henry Howard Humboldt Ida Iowa Jackson Jasper Jefferson Johnson Jones Keokuk Kossuth Lee Linn Louisa Lucas Lyon Madison Mahaska Marion Marshall Mills Mitchell Monona Monroe Montgomery Muscatine OBrien Osceola Page Palo Alto Plymouth Pocahontas Polk Pottawattamie Poweshiek Ringgold Sac Scott Shelby Sioux Story Tama Taylor Union Van Buren Wapello Warren Washington Wayne Webster Winnebago Winneshiek Woodbury Worth Wright
Home Zip:		School Zip:
Home Phone:		School Phone:
Preferred E-Mail:		Grade:	K 1 2 3 4 5 6 7 8 9 10 11 12
# of Students Reached:		Subject:
Amount Requested:	$0

Part A Project description. Be specific in the connection to agriculture and what the students will learn about agriculture.

Part B What educational standards will be met through this project?

How will the project/lesson be assessed to determine how much learning has occurred?

Part C List specifically the items(along with the price/cost) you will purchase (include teacher resources, student materials, book titles). Please note: The Teacher Supplement is a competitive grant process. The more specific you can be the better your chances for funding. Total number of different items I plan to purchase: Select from List 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

If the funds will be used for a fieldtrip, how will you incorporate the experience into your classroom?

Time table for using the funds:

March-May 2008 June-August 2008 September-December 2008 January-May 2009