DonorsChoose/Grants

DonersChoose/Grants

Submit this form only for Technology orders placed on DonerChoose and Grants
Teacher Name

First NameLast Name
Campus Location

Other
Please select type of program your technology will be used for
Assigned Classroom
What school year year will your Technology be put into service?

Order Details (NOTE ONLY LIST TECHNOLOGY ITEMS)

Rows	Make	Model	Cost	Ordered From	Quantity	Purchase Order
Item ordered
Item ordered
Item ordered
Item ordered
Item ordered
Item ordered
Item ordered
Item ordered
Item ordered
Item ordered

Once items have arrived at the I.T. office, we will complete a full inventory of the items and complete setup and delivery to your classroom.
Should be Empty: