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 *