School Name (required)
Name/Title of Applicant(s): (required)
Contact Person (if different from applicant):
Telephone: (required)
Email: (required)
Title of the Project: (required)
DonorsChoose Project ID number (if available):
Project Duration or Start/End Dates (estimate): (required)
Project Description (required) Describe the project in detail, benefits for students, alignment with school site plan strategies, etc. (if necessary attach additional pages):
Budget Description: (required)How you will spend the Grant money (include other sources of funds to supplement the project, if available). Provide cost estimates for project materials and other items:
Amount Requested: $100$200$300$400$500
Amount Requested (other amount): (required)
DonorsChoose remaining balance at the time of completing this form:
Approved by Principal: (required) yesno
Once the grant has been approved receipts must be submitted within 60 days.
