Request/Reimbursement for ISF Expenditures
Each school implementing an ISF Program is eligible to receive monetary assistance up to $100.00 to help with project expenses. Additional funds may be available on a case-by-case basis. Complete the form below and mail, fax or e-mail it to Richard Welch, Ph.D. at (678) 547-0084 (phone & fax), e-mail: info@antiprejudice.org.
School Name ___________________________________________________________
Name of Contact Person __________________________________________________
Phone _________________________________________________________________
E-mail ___________________________________________________
Amount budgeted $___________________
Please list proposed or reimbursable expenditures (poster board, film, materials, etc.):
__________________________ $ __________
__________________________ $ __________
__________________________ $ __________
__________________________ $ __________
__________________________ $ __________
__________________________ $ __________
__________________________ $ __________
__________________________ $ __________
__________________________ $ __________
__________________________ $ __________
__________________________ $ __________
Total $ ________________