Name of Service Provider_________________________________Address_________________________________________ Tax ID#___________________________ Business Phone______________________ Email____________________________ Amount requested (not to exceed $1500): $________________ I have read the requirements for the Sandra Hill Estate Grant, and hereby authorize the North Thurston Public Schools staff to discuss my child’s education and this application with the North Thurston Education Foundation. By submitting this application the parent or guardian agrees that these services are not necessary for the student to receive a free appropriate education. __________________________________________________ ________________________________ Parent Guardian Signature Date ____________________________________________________ ___________________________________ Student Signature (if student is 18 years old or older) Date
Name of Service Provider_________________________________Address_________________________________________ Tax ID#___________________________ Business Phone______________________ Email____________________________ Amount requested (not to exceed $1500): $________________ I have read the requirements for the Sandra Hill Estate Grant, and hereby authorize the North Thurston Public Schools staff to discuss my child’s education and this application with the North Thurston Education Foundation. By submitting this application the parent or guardian agrees that these services are not necessary for the student to receive a free appropriate education. __________________________________________________ ________________________________ Parent Guardian Signature Date ____________________________________________________ ___________________________________ Student Signature (if student is 18 years old or older) Date
SandraHillEstateGrantApplication.docx