Grant Request

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KLSEPTO Grant Request Form Form

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Name: *

Number of students to benefit: *

Project Title: *

E-mail address: *

Amount Requested: *

Budget Request: Provide a statement of the budget for all items needed, including date by which funding is need (Please note: it is preferable that SEPTA write a check directly to the vendor so that we avoid paying any unnecessary sales tax). Please *

Security: Please provide a description of where the items will be kept when not in use and/or what kind of security measures will be taken (if applicable). *

Printed Price Comparison (Due Diligence) Attached ____Yes _____No

I am a current member of the KLSD faculty/staff/administration. (note, you must be a current member to qualify for the grant.)

Project Description: Provide a brief description of the project of item, including how this project will complement the curriculum and the benefit the students. *

Completion of Grant: Please explain where the item will go when the project is completed (if applicable). *

Captcha (spam protection code) *

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