LWHS PTSA $200 Staff Grant Reimbursement Form
• One grant per eligible staff member, up to $200 per school year. Grants are awarded on a first-come, first-served basis. • Grants are intended for supplies, materials, equipment, or professional development that enhance student learning, health, well-being, and educational success. Food, snacks, and classroom parties are not eligible. • Grants are available to teachers, librarians, counselors, school nurses, administrators, and other eligible LWHS staff. • Grants may be used individually, up to $200 per staff member, or pooled with other eligible staff members for larger purchases. • Department head and principal approval are not required. • Itemized receipts for the 2026-27 school year must be submitted for reimbursement.
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Full Name
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First Name
Last Name
Email
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example@example.com
Amount
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