Intent to Request Donations Form Revised July 2021

Intent to Request Donations

(DonorsChoose.org Donation Platform)

NOTE: GoFundMe and Amazon Wish Lists are NOT Approved Platforms

Reminder: Gift Cards are NOT approved items. Do not include Teachers Pay Teachers Gift Cards in Donors Choose Projects.

Date

Name

First NameLast Name

Building

Position

Phone

Email

example@example.com

Project Title

Total $ Value of Request

Confirm you acknowledge KCKPS Donation Request Guidelines and Procedures.

Confirm

Does your request include electronic devices, software, apps, or online subscriptions?

YesNo

Does your request include books or other curriculum enhancement materials?

yesNo

Project Description-- Copy/paste the actual text from your project below.

Rationale - Describe the project's alignment to School Improvement Plan, KCKPS Strategic Plan, and/or KESA Framework. How does is align to the GVC?

Internal sources of funding must be explored prior to seeking outside support (building budgets, department budgets, Title funds, etc.). List the sources you explored before beginning this project.

Please confirm that you agree to fulfill all requirement and expectations outlined by the donor platform, such as student generated thank you package.

Confirm

Please confirm acknowledgement that all donated items received from this request are property of KCKPS, and must remain with the building/program described in this form.

Confirm

Applicant Signature

Date

REMEMBER!!! DO NOT CLICK SUBMIT!!!

PREVIEW AS PDF SO YOU CAN OBTAIN PRINCIPAL SIGNATURE!!!

Preview PDF
Download PDF
SAVE PDF
Attach PDF and screenshot of Project Budget in an email to principal for signature.
Upon receipt of signature, SAVE PDF and attach PDF and screenshot of Project Budget in an email to julio.omealeysimmons@kckps.org.

Choose Preview PDF Below, do not click Submit!