Complete this form when you have raised your match and wish to request that it be sent to your designated organization. The ISP committee will then make a grant recommendation to the Region Five Development Commission, our legal entity, and they will process the award to be sent to the responsible organization.  The responsible organization (education foundation, school district administrator, PTO chair, or other fiscal host) must allow educators to access this funding for classroom resources.

By signing this document, I am certifying that the above information is true to the best of my knowledge and that I am an authorized representative of the designated organization. I understand that the matching grant will be awarded directly to the designated organization whenever possible and will not be released until the Innovative Schools Project Committee has received this form, the list of grants committee members, and any overdue impact reports from previous years.  I understand that this project is a joint effort between our local school district and the community, and grantee, shall carry out this project using the grant funds only for the designated purpose of funding classroom resources that enhance educational experiences for students. The grantee shall repay to Innovative Schools Project any portion of the grant which remains unused or is not used for the purposes specified.

If your grant award has not been received within 20 days of completing this form, please contact Lindsey Riffle. My contact information is lindsey@ispmn.org | 218-208-3435.