SA YES 2022 - 2023 Box of Dreams Project Waitlist Form

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Thank you for your interest in receiving school supplies from SA YES.

Our goal is to create a "waitlist" for this upcoming year and serve as many students and organizations as possible.

This form is for non-profits and public, private, and charter schools that have not received supplies from SA YES in the last 5 consecutive years.

*** If you have received supplies from SA YES within the last 5 years, then we invite you to fill out the 2022-2023 Back to Basics Project Form.***

Our supply kits are designed to support students Kinder - 5th grade.

Each school supply kits includes the following items: colored pencils, crayons, notebook paper, spiral notebook, big eraser, glue stick, folders with pockets, folders with pockets and brads, a ruler, pencils, ballpoint pens in black and red, and a box of tissues.

Please note that by filling out this form, it does not guarantee that you will receive supplies. If selected, you will be notified in May 2022.

For additional questions or if you are unsure which form to fill out, please email info@sayes.org or call (210) 298-8800.

Email *

Organization/school full name *

Organization/school general phone number *

Name of person requesting supplies *

Title of person requesting supplies *

Phone number and extension of person requesting supplies *

Are you a registered 501(c)3? *

YES

Are you a private or charter school? *

YES

If you are a private or charter school, please list your Title 1 status. If this doesn't apply to you, please write "N/A". *

Are you a public school? *

YES

What school district is your organization/school located within? *

Date you would need supplies *

YYYY

First day of school for 2022-2023 year *

YYYY

At this time, how do you plan to distribute? *

Drive thru line with parents and students

In person distribution

Not sure at this time

Other:

Please select the current learning style for your students (if this doesn't apply, please check other) *

In person only

Remote only

Hybrid learning (students do both remote and in person learning)

Required

What learning style will you offer to your students for the 2022-2023 school year? *

In person only

Remote only

Hybrid learning (students do both remote and in person learning)

Current enrollment/numbers of children you serve *

Are you able to pick up the supply kits from our storage facility? Please note that nine kits comes to a box and will require a larger vehicle.

**Non-profit(s)/Organization(s) Question Only**

YES

Clear selection

If you're unable to pick up, what is the location the supplies need to be delivered to?

**Non-profit(s)/Organization(s) Question Only**

# of anticipated enrollment for 2022-2023 *

Kinder-5th grade

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