SHS Mini Grant Request Form

Date

Please provide the following contact information.

First  Name   Last Name
Work  Phone   E-mail   
Class  taught  

Dollar Amount Requested (max 500.00) $

Grant to benefit:  Class    

Grade Level(s) (check all that apply)
9  10   11  12 Other

Indicate if you are also applying for funds for this mini-grant from
SEF
    SIS    SMS    SHS    SEPTA

Do you have additional information that will be left in the SHS PTA Mailbox? Yes    No

Project Details
 

Materials Needed
 

* *You must be a PTA member to apply**  Click here for membership form!