Testing the Waters- End of Year Education Stipend Form

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Please use this form to report how you used the Testing the Waters Water Education Stipend at the END of the school year. Failure to complete and return this form, along with at least one set of data will make you ineligible to receive a stipend during the next school
year. Submit the form as soon as you spend the money. Funds cannot be held over from one year to the next without consent on the TTW Project Director. Itemize your expenditures and provide receipts. This form and your data are due
no later than May 15th.

If you have questions, please contact Mary Holleback at mholleback@riveredge.us or by phone at 262-375-2715.

Email *

School's Name:

Teacher's Name:

Date:

YYYY

Please detail how you used the stipend money.

Please provide an itemized list of your expenditures.

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