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SECTION 1: APPLICANT INFORMATION
First name:
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Middle name:
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Last name:
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Current Address:
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City:
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State:
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Zip Code:
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County:
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Home Phone:
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Cell Phone:
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Email:
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School Name, Address, & Phone Number:
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School Principal Name, Phone Number & Email:
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SECTION 2: NARRATIVE
Describe (500 words max) specifically how the funds will be used to benefit their students’ literacy development.
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SECTION 3: SUPPLEMENTAL MATERIALS
Please provide a statement of support signed, dated and on school letterhead from the applicant’s principal.
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SECTION 4: VERIFICATION
I attest that everything that I have submitted is accurate and true to the best of my knowledge. If I do receive a grant, I will send documentation – such as photos or video – of the project this grant supports
Applicant Signature:
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About
Who We Are
Our Mission
What We’ve Done
Board Members
Grants
Guidelines/Application
Past Recipients
Media Release Form
Scholarships
Apply
Donate To A Scholarship
Events
News
Contact
Donate
All Donations
Scholarships
Century Club
Submit Donation Forms
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