Applicant's name:

School name:

School district:

School address:

School telephone:

School website:

Applicant email:

Grades in program:
(check all that apply)

Program implementation:

Student demographics:
(% for each)

School population:

Average class size:

Average student/teacher ratio:

1.  Resources

A.  Please provide your gym specifications:

• Do you have one or more school gymnasiums?  Yes  No
• What is the size of your largest gym?  Length: ft.   Width: ft.   Height: ft.

B.  If available, provide additional facilities you have access to at your school; these may include tennis courts, sports fields, pools, additional gyms, equipment, etc.

C.  Do students currently have access to fishing equipment through school?  Yes  No

D.  Is there fishing equipment/materials available at the district level?  Yes  No

A.  Describe any past experience the school has with fishing program(s):

B.  Do any teachers involved in participating in the NFFSP have experience in fishing?  fly fishing?  If so, please describe their experience level and planned involvement

C.  Describe the availability of water resources with proximity to your school and how they might be utilized in conjunction with the NFFSP.

A.  Will NFFSP have cross-curricular involvement with school subject matter other than PE?  If so, what will that look like with the overall school curriculum goals?

B.  Describe how your school might support the viability/sustainability of the NFFSP program. School support may include administration, staff, teachers, parents and after school programs.

A.  How long do you foresee the NFFSP program remaining in your school's PE or other curriculum? What are some of your ideas for keeping the program viable for future years?  Please relate this issue to funding, staffing, permanent program adoption into the school and community support.

Thank you for applying for the NFFSP Program.  We look forward to helping you implement "FlyFishing in Schools" in your school. 

By signing this application, I certify (1) to the statements contained herein, and (2) that the statements herein are true, complete and accurate to the best of my knowledge, and (3) I understand than if awarded, all funds are to be used for curriculum/equipment provided by the FlyFishing in Schools Program.  I also provide the required assurances and agree to comply with any resulting terms if I accept an award.  I am aware that any false, fictitious or fraudulent statements or claims may subject me to criminal, civil or administrative penalties.

Sign   Date