Sponsor Partnership/Donor Interest Form

Classroom Mini-Grant Application

Application Deadline is Wednesday, Dec. 10
Classroom teachers from Waco ISD's Dean Highland, JH Hines, Provident Heights, and West Avenue elementary schools are eligibile to apply for a Huddle Up for Teachers $250 Classroom Mini-Grant. Submit the form below to apply. Applications must be received by Wednesday, Dec. 10, and all fields must be completed accurately to be considered for mini-grant selection.
Your Name*

First NameLast Name
E-mail*
Phone*
Are you a first year teacher?*

YesNo
How many years have you been teaching?*
Type the total number of years you've been a teacher. Round up to the next year if needed.
Which Waco ISD elementary school campus do you work at?*
Principal's Name*

First NameLast Name
Principal's Email Address*
What grade(s) do you teach? Select all that apply.*

Pre-K3rd GradeKindergarten4th Grade1st Grade5th Grade2nd Grade
What subject(s) do you teach? Click the plus sign icon to add more subjects.*
About how many students are in your class(es)?*
Type the total number of students you teach who would be impacted by this mini-grant.
Do you spend your own money on classroom supplies every year?*

YesNo
How much of your own money do you spend each year on classroom supplies?*

$1-$99$500-$749$100-$249$750-$999$250-$499$1000+
What types of classroom supplies do you typically have to buy out-of-pocket for your classroom? Select all that apply.*

Consumable school supplies (paper, pens, pencils, ink cartridges, etc)Classroom decorEducational aids (books, games, technology, software, etc)Cleaning suppliesFirst aid suppliesStudent requested items (hygiene, food/snacks, school supplies)Other
During which month(s) of the year do you typically purchase supplies out-of-pocket for you classroom? Select all that apply?*

JanuaryMaySeptemberFebruaryJuneOctoberMarchJulyNovemberAprilAugustDecember

Please include a budget of the items you plan to purchase if you're awarded a $250 mini-grant. The types of items permitted for purchase with grant funds are listed in the column on the left. Type the amount you anticipate spending next to the category in the Budget Amount column. Type "$0" in next to any category you do not plan to purchase items. The total will display in the box below as you add dollar amounts.*

	Budget Amount
Consumable Supplies (pens, paper, notebooks, ink cartridges, etc)
Educational Aids/Supplemental Materials (flash cards, charts, etc)
Student Needed Items (hygiene, spare supplies, etc)
Accessible/Adaptive Learning Materials

Total Budgeted Amount for Mini-Grant
This amount should not exceed $250. If it does, modify your dollar amounts listed above accordingly.
Briefly list/describe the specific items you plan to purchase (calculated above), why you need them, and how they will be used to benefit your students.*
Briefly explain the impact receiving this mini-grant will have on you and your students.*
Should be Empty:

Classroom Mini-Grant Application