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Financial Help for Students

Poverty should never be a barrier to success.

Please compete the form on behalf of the student enrolled in Kahoa Elementary School.

Staff Contact Information

The staff member listed will be contacted regarding the use of the funds and student impact.

Staff Name

First Name *

Last Name *

Staff Email (Required)

Staff Phone Number (Required)

Staff Acknowledgement

LPS Fee Waiver Program

Yes, the LPS Fee Waiver Program has been utilized prior to applying to this fund.
No, the request for funds does not include a LPS fee.

Financial Need

Please describe the student's financial need. (Required)

Assistance from this fund is limited to students with financial need.

Student Information

Student Name

First Name *

Last Name *

Student ID# (LPS and/or others)

Parent/Guardian Name

First Name *

Last Name *

Student Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

School Information *

School Name (Required)

Phone (Required)

Student Need

Please note, payouts are limited to a maximum of $400.

Amount Requested $ (Required)

Provide a description of need and itemized list of how the money is to be spent. (Required)

Help us tell the donor how your request will help the student thrive. (Required)

Payment Information

Payment Method

Check
Reimburse LPS Account (please provide account #)
Other

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Make Check Payable To

Individual/Business/Organization Name (Required)

Mail Check To

NOTE: We are not able to mail checks to schools.

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Check Memo Line

We contact the individual listed so we can inform them payment is guaranteed and on its way.

Name of Individual Receiving Check (If Different Than Above)

Phone

File Upload

Please upload documentation of the cost via itemized receipt, invoice, website screenshot, etc.

File 1 (Required)

No file selected

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File 2

No file selected

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File 3

No file selected

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The Numbers

Schools Served

74
Focus & Specialty Programs Served

15
Students Empowered

42,282
Teachers & Staff Supported

6,625
Funds Received This Year

$4.30M

Our Partners

SEE ALL >>

© 2024 Foundation for Lincoln Public Schools

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