Book Donation Request Form

Donation Request Form
The Direct Care to Kids Initiative is a partnership between The Public Education Foundation, Spread The Word Nevada and Communities In Schools of Nevada aiming to provide books and academic materials to at-risk children.

Kits include:
- A age appropriate book for readers at elementary grade levels K-5 donated by Spread the Word Nevada
- Science/Technology/Engineering/Math (STEM) workbooks for various ages donated by The Public Education Foundation
- Other items which may include dental kit, hygiene kit, and activity worksheets
Kits Requested

Tell us what type of kits you are requesting *

# of Kits

Pre-K Grade Kit

Kindergarten/1st
Grade Kit

2nd/3rd Grade Kit

4th/5th Grade Kit

MS Grade Kit

How Do We Contact You?
Are you a CASA volunteer?
How would you like to receive the kits?
Organization Name? *
Name *

First Name Last Name
What is your role within your organization? *
Email Address: *
Phone Number: *
Address

Street Address

Address continued

City State / Province

Postal / Zip Code
Comments
Should be Empty: