Willow Creek 2018-2019 Enrichment Grant Request Form
Online grant submission for requesting Willow Creek PTSA grants.

The person who is requesting the grant is responsible for purchasing the grant and submitting an invoice or receipt showing proof of purchase to the PTSA. If the requestor is not purchasing the grant, please indicate who is in the Purchase Grant Section of this form.

Requestor *
Enter your name here. Check will be made out to this person unless specified otherwise below in the who will purchase grant section.
Your answer
Requestor email address *
Enter your Rochester Public School email address
Your answer
Grant description *
Desribes the purpose or goals of the grant. What are the ways the grant will focus on the creative and unique learning experiences that the student benefits from?
Your answer
Number of students impacted by grant *
Your answer
Teams involved *
List what academics area of the school this is for. Examples could include, entire school, Team 601, ESOL, Music, Art, Media Center
Your answer
Amount Requested *
Your answer
Are there other sources of funding used? *
Required
If yes, what source?
Your answer
If yes, amount of other funding
Your answer
Grant duration start date *
MM
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DD
/
YYYY
Grant duration end date *
MM
/
DD
/
YYYY
Who will purchase grant items
PTSA will reimburse the requestor unless specified here.
Additional Information
List any other additional information you would like the PTSA membership to consider for this grant.
Your answer
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