Educators Mini-Grant Application

Full Name
Phone Phone - ### - ### ####
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Current School Position/Grade Taught
Number of years employed as an Educator?
Name of School
School Address School Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
School District
Describe how funds will be used. (Maximum Grant Amount: $250.00)
Tell us about any other types of grants/funding you have received for the current school year, including the amount(s) and date(s) received