Teacher Assistance Application
Empowering classrooms to help students thrive 🌻
Teacher Information
Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Mobile Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Classroom/Student Needs
What type of assistance are you requesting?
*
Classroom Supplies
Student Emergency Support
Technology
Other
Describe the specific needs of your classroom or students.
*
Tell us about the materials or support you need and why it’s important.
How many students will benefit from this support?
*
Are there any special circumstances or challenges your school or classroom is facing?
*
Impact Statement
How will this assistance impact your students and classroom environment?
*
Supporting Information
School Name
*
School Name
Grade Level
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you able to receive packages at this location?
*
Yes, of course
Not at this location, please ship to my home
Are you a Title I school?
*
Yes
No
Upload School Logo and School Picture of Yourself
Browse Files
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Terms and Agreement
Acknowledgment Checkbox
*
I confirm that the information provided is accurate to the best of my knowledge.
Send a thank-you note after receiving donated items to show appreciation, acknowledge the donor’s generosity, and share how their items will directly support teachers and classrooms.
Post on your social media and tag the organization to share appreciation, highlight community support, and help spread awareness about the impact of teacher donations.
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