HMS PFC Teacher Grant Request
Complete and submit for review by HMS PFC Board
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Email *
Teacher’s Name: *
Date *
MM
/
DD
/
YYYY
Requesting funds for (be specific): *
Number of students impacted *
Have you checked with school administration to confirm no other funding sources are available? *
Has administration/principal approved your request? *
Cost and / or quote for your request (e.g., 45 books at $1.00 each; 2 L soda and mentos for experiment, $5.00): *
Any other comments?
A copy of your responses will be emailed to the address you provided.
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