Classroom Grant Agreement and Check Request - Berkeley Public Schools Fund

Project Coordinator*

First Last

Email address*

Project Title*

Grant title as it was listed on your grant application

School*

Indicate school that grant was designated for

School year for this grant*

Please enter the academic year that this grant was awarded for.

Grant number*

Enter grant number as specified in the email you received about your grant award (e.g. 1-001)

Amount of this payment*

Specify the amount to pay to 3rd Party. DO NOT INCLUDE $-SIGN OR COMMA.

Is check payable to a person or an organization?*

Specify whether the check should be written to a person or to an organization.

Check to be made out to:*

First Last

Check to be made out to organization:*

Organization name

Address of payee:*

Street Address City State / Province / Region ZIP / Postal Code

Email address of payee*

We need to have payee contact information in case we have any questions for them.

Phone number of payee*

We need to have payee contact information in case we have any questions for them.

Where should we send the check?*

We can mail the check directly to the payee, send it to you at your BUSD location (so you can give it to payee), or hold the check for pickup in our office.

Mail check to payee
Mail check to me at school
Pick up the check at the Schools Fund office

Tax Information Required

If the payee is an individual that is being paid for their services, then we require their tax ID number (unless we already have that on file). Please either have the payee contact us with their information or complete an IRS W-9 form (link is on the Classroom Grants page of our website) and return it to us. We cannot make payment without this information.

Payment invoice or other documentation

If you have an invoice or email or other documentation that specifies the payment information, please email to us at schoolsfund@berkeley.net or mail via district mail or regular mail. Our mailing address is PO Box 2066, Berkeley, CA 94702. For payments to an organization, it helps them match the payment with the specific service provided. Mark any that you will be providing.

Additional Payment Instructions

If you have other special instructions, provide details here.

Comments

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