SOURCES Elementary Request for Materials Form 2024-2025

Please complete one (1) request PER school, do not combine orders for multiple schools.

School Name (full school name, no abbreviations, please) *This question is required.

Mailing Address: *This question is required.

City / Zip: *This question is required.

School District: *This question is required.

1. School County: (After selecting your county, select the RPC Region that is shown in the next dropdown.) *This question is required.

Counties Served
Regions

School Contact (first + last name): *This question is required.

Contact Person's Title: *This question is required.

Contact Person's Phone (xxx-xxx-xxxx): *This question is required.

Contact e-mail: *This question is required. This question requires a valid email address.

Who are the trained coaches in your school? If you are the trained coach, write "Self". *This question is required.

Coach's Contact e-mail: *This question is required. This question requires a valid email address.

Approximate implementation date (mm/dd/yyyy): *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Which school year are you ordering materials for? *This question is required.

Mark which grades will be participating, and include the number of classrooms and students in each grade. Student counts can be approximate.

Space Cell	# Classrooms	# Students per Grade (approx.)
K - Kindergarten	K - Kindergarten: # Classrooms	K - Kindergarten: # Students per Grade (approx.)
1st - First Grade	1st - First Grade: # Classrooms	1st - First Grade: # Students per Grade (approx.)
2nd - Second Grade	2nd - Second Grade: # Classrooms	2nd - Second Grade: # Students per Grade (approx.)
3rd - Third Grade	3rd - Third Grade: # Classrooms	3rd - Third Grade: # Students per Grade (approx.)
4th - Fourth Grade	4th - Fourth Grade: # Classrooms	4th - Fourth Grade: # Students per Grade (approx.)
5th - Fifth Grade	5th - Fifth Grade: # Classrooms	5th - Fifth Grade: # Students per Grade (approx.)
6th - Sixth Grade	6th - Sixth Grade: # Classrooms	6th - Sixth Grade: # Students per Grade (approx.)

Notes: