Request for Proposal | Acellus Learning System

National Cyberschool Start-Up Grant

Grant Request Form

Submitting the form below reserves the grant funding for your district for 30 days. Upon submission, a grant approval form will be sent to your attention for your review and electronic approval.

Person Applying For Grant:

First Name:

Last Name:

Title:

Cell Phone:

Email Address:

School District Information:

District Name:

Address:

City:

State:

Zip:

Country:

DESIGNATE YOUR SCHOOL NAME FOR CYBERSCHOOL:

Each participating district must have a unique name for their Cyberschool. This name will be visible to students and often includes the name of the school district. Please use the space below to designate a school name.

Customize School Name: Cyberschool

Name of Cyberschool: Cyberschool

DESIGNATE YOUR DISTRICT ADMINISTRATOR FOR NATIONAL CYBERSCHOOL:
Please appoint one primary staff member to serve as the District Administrator over Cyberschool, and a secondary staff member to serve as the Assistant Administrator for your district. These individuals will oversee program implementation, coordinate with the Acellus Support Team to schedule training, and act as the main point of contact for all program-related matters.

Administrator for Cyberschool:

First Name:

Last Name:

Title:

Cell Phone:

Email Address:

Asst. Administrator for Cyberschool (Optional):

First Name:

Last Name:

Title:

Cell Phone:

Email Address:

ACELLUS GOLD STORE OPTIONS:

Virtual Gold Store – Fulfillment of merchandise is handled through our national fulfillment center to the students. School agrees to pay an additional $5 per student per month for this service.

Brick & Mortar Gold Store – Gold Store merchandise is shipped directly to the schools physical location. School will be billed $10,000 for the Gold Store Start-up Package.

No Gold Store

National Cyberschool Start-Up Grant

Grant Request Form

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