Classroom Grant Check Request This form is used to request a payment for your classroom grant. Project Coordinator* First Last Email address* Project Title*Grant title as it was listed on your grant applicationSchool*Indicate school that grant was designated forDistrictwideDistrict Preschools - allDistrict Preschool - FranklinDistrict Preschool - HopkinsDistrict Preschool - KingArts MagnetCragmontEmersonJeffersonJohn MuirMalcolm XOxfordRosa ParksSylvia MendezThousand OaksWashingtonLongfellowKing MiddleWillardBTABerkeley HighIndependent StudyHerrick HospitalSchool year for this grant*Please enter the academic year that this grant was awarded for.2018-192017-18Grant 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 of payment. DO NOT INCLUDE $-SIGN OR COMMA.Are you the payee or is it someone else?*Please indicate if this payment is to you, to another person that is making purchases for your grant, or to a vendor.Payment is to me (Project Director named above)Payment is to another personPayment is to a vendorCheck to be made out to:* First Last Check payable to*Provide the name of the company or organization that the check should be made payable to.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 at address aboveMail check to me at schoolPick up the check at the Schools Fund officePayment Invoice or Other Documentation*If you have an invoice or email or other documentation that specifies the payment information, please email to us at firstname.lastname@example.org 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.InvoiceEmailOther documentationAdditional Payment InstructionsIf you have other special instructions, provide details here.PhoneThis field is for validation purposes and should be left unchanged.