Scholastic Book Grants In Kind Donation Application printable pdf download

Scholastic Book Grants In Kind Donation Application

SCHOLASTIC BOOK GRANTS

IN-KIND DONATION APPLICATION

GENERAL INFORMATION

Name of Organization: _____________________________________________ Date: _________________________

Street Address: _________________________________________________________________________________

City: _____________________________________

State: ___________

Zip Code: _______________

Name/Title of Contact for Application: ________________________________________________________________

Office Telephone (

) ____________________________

Fax (

) ______________________________

Number of Books Requested: ____________________________

(500-1,000 books = Maximum Request)

Breakdown of ages and age groups of children served by requested books: _________________________________

______________________________________________________________________________________________

Total Organization Budget: $______________________________

Communities/Counties Served: _____________________________________________________________________

Number of Paid Staff: _______________F/T _____________P/T

Number of Volunteers: _____________

Number of People Served by Organization

2007 Actual___________ 2008 Estimated________________________

IRS Tax-Exempt Status (check one)

Exempt

Nonexempt Reference Number_________________________

Please provide a 1-2 sentence description of how the organization intends to use the requested donation.

Describe the main population your organization serves.

(Please fill out questionnaire on reverse side)

Scholastic Book Grants In Kind Donation Application