Teacher Grant Application Please enable JavaScript in your browser to complete this form. - Step 1 of 3Name *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Who or how did you hear about the Teacher Grant? *NextAre you a full time teacher or have a classroom of your own? *YesNoSchool Name *School District *How many students are in your classroom? Selected Value: 0 Principal's Name *FirstLastPrincipal's Email *School's Phone *School AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNext Wish Lists In order of priority, please list or provide a list of specific school supplies you need or want for your classroom. In the Top Priorities and Mid Level Priorities, please limit these to your top 3 items to help our team in the ordering process. Provide specific websites or items you would like for your students and classroom. Lists can also be uploaded below. If you have an Amazon wish list link, providing this is helpful for us.Top Priorities *Please list your top 3 priority items for you and your classroom.File Upload Click or drag a file to this area to upload. Mid Level PrioritiesPlease list your 3 mid level priority items for you and your classroom.File Upload Click or drag a file to this area to upload. Low Level PrioritiesPlease provide any items that make your list at the lowest level priority for you and your classroom.File Upload Click or drag a file to this area to upload. I certify that my answers are true and complete to the best of my knowledge. *FirstLastI certify that my answers are true and complete to the best of my knowledge. If this application leads to a grant offer, I understand that false or misleading information in my application may result in a rejection of funds. CommentSubmit