Donation Request Application

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Date of application:

The Wish You Well Foundation Donation Request Form


Organization Information
Glenn Hills High School Media Center
Name of organization

Legal name, if different

2840 Glenn Hills Dr.


Address

Augusta
City

GA
State

30906
Zip

(706) 796-4924
Phone

Fax

http://ghhs.rcboe.org/home.aspx?
Web site address

Hiroko Turner
Name of contact

Teacher
Title

706-796-4924
Phone

Email

Name of board chair, president, or residing officer

Title

706-796-4924
Phone

Email

Proposal Information
Please construct a 3-4 sentence summary of the request: The school has been struggling fro low readability of stduents. The media center tries to implement a new reading peobram by the following activitieds. 1. After school reading activity ( 2:45 - 3:45 pm) 2. Web site fro Reading Advisory (for those who can not stay after school) 3.Purchasing total 100 (printed or electronic) books requested by the stduents 4. Poster projects and Book Cover projects (to be displayed at the media center) 5. Inviting a Quest speaker (monthly)

Funds are being requested for (check the one or more that best fits your program or project): General Program/project support Operating support Technical assistance Start-up costs Other (please specify) Fiscal year end: 2013 Capital

Project dates: August through December, 2012

Budget
Dollar amount requested: Total annual organization budget (copy attached) Total program or project budget (copy attached) $ $801.99 $ $ $801.99

Authorization
Name of the board chair, president, or presiding officer: SIGNATURE Hiroko Turner DATE March 3, 2012

WYW Foundation GAF, updated 02/05

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