Challenger Learning Center of Lake Erie West Sponsored by the
Educational Service Center of Lake Erie West Cenovus Energy Grant Application 2024-2025

Dear Applicant,

Thank you for taking the time to complete this Cenovus Energy Grant application for 50% matching funds toward a mission or outreach program through the Challenger Learning Center of Lake Erie West. Funding is granted on a first-come, first-serve basis and is limited to one matching grant per school building or program.

APPLICATIONS MUST BE EMAILED NO LATER THAN 45 DAYS BEFORE THE REQUESTED MISSION. Applications will be reviewed and responses sent within 15 days of receipt. Application submission does not guarantee approval. You will be notified of approval via email. Once funding is approved, applicants must schedule a mission or program within 10 calendar days after notice of approval or the funding may be canceled and given to another waiting participant.

ALL FIELDS MUST BE COMPLETED AND BE LEGIBLE

District:	School:	Educator(s):	

Home School Group/Other Organization:	

Program requested (Please check one of the following):

Fall Mission (July 1st through December 31st):

□	$550 = $550 x 50% (Cenovus Energy Grant) = $275

Spring Mission (January 1st through June 30th):

□	$600 = $600 x 50% (Cenovus Energy Grant) = $300

Virtual Mission (All Year):
□ Virtual Moon Mission $200 x 50% (Cenovus Energy Grant) = $100 □ Virtual Mars Mission $200 x 50 % (Cenovus Energy Grant) = $100

Junior Astronaut Training (All Year):

□	$400 for 1.5 hours up to 28 children x 50% (Cenovus Energy Grant) = $200

StarLab Planetarium

□	StarLab presentation $250 x 50% (Cenovus Energy Grant) = $125

Outreach Program / Presentation (Mars Map, Rocket Program, etc.) □	Outreach/program $150 x 50% (Cenovus Energy Grant) = $75

Contact Beth Tolson at etolson@esclakeeriewest.org with questions about this grant.

Reason funding is needed:

Invoice Information:

Attention To: 	

Address:	

City:	State:	Zip Code: 	

Contact phone:	__Email:	

Alternate contact information (cell phone, additional emails, etc.):

Has your school ever attended the Challenger Learning Center of LakeErie West? 	

If yes, when was the last visit?	___

Have you received Challenge Grant funding in the past (if so,when)?	

Mission Criteria:

As a condition of funding and by signing below, the applicant/educator agrees to deliver the pre-mission lessons as provided by the Challenger Learning Center of Lake Erie West in order to prepare students for their mission.

Applicants who bring their students through the Challenger Learning Center simulated missions agree to bring liability/media releases, crew manifests, and mission patches on the day of the mission.

Educators agree to complete a post-mission/outreach survey to help provide information as to the effectiveness of our program.

Signature	      Date	

Printed Name: 	

ALL SUBMISSIONS MUST BE EMAILED TO:

Beth Tolson etolson@esclakeeriewest.org 419-245-3809 (Office)

Contact Beth Tolson at etolson@esclakeeriewest.org with questions about this grant.