INTENT to post on crowdfunding sites (Adopt-a-Classroom and Amazon Wish list)

Message from the Humble ISD Office of Community Development:

Completing this form is Step #2 in the Crowdfunding Process in Humble.

This form must be completed by Humble ISD teachers and staff AFTER the principal or administrator has granted you approval to post the request and implement the project if funded.

If you are requesting technology please review the Technology/Grants Guidance form. The policy can be found on our district’s website and is also linked on this form below.

This form will automatically be submitted to:

Melinna Lopez, the district’s resource development coordinator
Jaclynn Cabral, Fixed Asset Accountant
Your campus principal

*Project description entered below should be the same text you use on your crowdfunding project page*

If you need assistance or have questions regarding the Humble ISD crowdfunding process you can reach Melinna Lopez at melinna.lopez@humbleisd.net or by phone at 281-641-8141.

Crowd Funding Applicant Information

Today's Date: * +

I understand and acknowledge that I am aware of the steps in the crowdfunding process within Humble ISD. I also have already cleared my project with my campus administrator and they have approved of me posting this public request on crowdfunding websites on behalf of an Humble ISD campus or department. *

Yes

Further, I have read, understand and acknowledge the district's guidance on Technology/Grant Funds Policy located on the Community Development Department's website? A link to the guidance is located below for you to read/print. *

Yes

Technology/Grants Ownership Guidance

I agree to the terms and conditions in the Technology/Grants Ownership Guidance Procedures. *

Yes

Applicant's First Name: *

Applicant's Last Name: *

Email Address *

Campus *

Grade Level *

Campus Principal's First and Last Name: *

My Campus Principal's email address: *

Campus bookkeeper's First and Last Name: *

My Campus bookkeeper's email address: *

Crowd Funding Project Information

Check off the crowdfunding sources/websites you plan to post your project on for funding. *

Amazon Wishlist

Adopt-A-Classroom.org

Other (for approval contact Melinna Lopez) Other (for approval contact Melinna Lopez)

Project Title *

Number of students impacted by this initiative: *

Describe your students and what makes them special. *

0/2000 words

Please provide a short description of your project. *

0/1000 words

Value of Items Requesting/Amount of your Project Budget: *

If technology hardware or software is requested, please list those items here and include how many (ex: iPads - 6): *

This project is planned to provide/request: *

Academic Area *

School principals must approve all photos used on your profile. This includes photos of students and campus logos. Please upload photos here.

My project will be fully funded by: * +

I understand that after my project is funded, I am required to complete the Amazon Wish list and Adopt-a-Classroom FUNDED Project Form located on the Office of Community Engagement's web page. *

Yes

INTENT to post on crowdfunding sites (Adopt-a-Classroom and Amazon Wish list)

Crowd Funding Applicant Information

Crowd Funding Project Information

Thank You!