Intent to Request Donations Form Revised July 2024

Intent to Request Donations (Donors Choose/Adopt a Classroom) Approval Form

Before completing this form:

Talk to your principal to determine that there are no internal sources to fund the items you need.
Go to the crowdfunding website Donors Choose or Adopt a Classroom, Sign in or create an account.
Create a project, but DO NOT SUBMIT IT PUBLICLY! District approval is required prior to submission of Donors Choose projects.
Use the content you wrote in your descriptions on the platform to copy/paste into this form.

Date

Name

First, Last

Building

Position

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Project Title

As it will appear on Donors Choose or other platorm.

Total Value of Request

Please use commas (as appropriate) and decimal points. Ex: 0,000.00

Confirm you acknowledge KCKPS Donation Request Guidelines and Procedures.

Does your request include electronic devices, software, apps, or online subscriptions? NOTE: Some items like this will required approval from TIS or C & I.

Does your request include books or other curriculum enhancement materials? NOTE - if requesting classroom sets of novels, this form will be sent to C & I for approval.

Does your project involve permanent changes to the building or property? (for example, appliance or device installation, playground equipment, painting, etc.)

Project Description - Copy/paste the actual text from your Donors Choose or Adopt a Classroom project below.

Please summarize the items you're requesting and describe the alignment to the GVC, School Improvement Plan District Strategic Plan and/or KESA Framework.

NOTE: Classroom sets of novels will be sent for approval by C & I, so be sure they are grade-level appropriate and align with the GVC!

Have you confirmed with your building principal that there are no internal funds to support the requested items (Title, department, building budgets)?

Confirm you agree to fulfill all requirements and expectations outlined by the donor platform, including student-created thank you materials.

Confirm acknowledgement that all donated items received through this request are property of KCKPS and will remain with the building and/or program described in this form.

For Donors Choose Only - Take a screenshot of the itemized list from your Donors Choose project and upload here.

Be sure all items and the total are visible.

Applicant Signature

Date