New Teacher Grant Application New Teacher Grant Application We offer one-time grants for every new teacher. Please fill out the form below and if approved, your check will be mailed to you. Registration and School InformationName* First Last Email* I prefer to receive grant funds by: Paper check by mail to the address below Electronic transfer to my bank account (Electronic transfer requires that you give your account information to the EPAK Treasurer by email or phone. Instructions will be emailed to you once your grant is approved.)Mailing Address for check* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School*Please selectAll FiveBelle Haven Elementary SchoolCesar Chavez Ravenswood Middle SchoolCostaño Elementary SchoolEast Palo Alto Academy High SchoolEast Palo Alto Charter SchoolEast Palo Alto Phoenix AcademyKIPP Esperanza High SchoolKIPP Valiant Community PrepLos Robles McNair AcademyOxford Day AcademyRavenswood Preschool Special EducationTIDE AcademyPosition*Please selectPre-K TeacherTK to 12th Grade TeacherSpecial Education TeacherSLPOTSchool LibrarianHealth & Wellness TeacherMakerspace TeacherGrade Level*Please selectK123456789101112Other/NADisclosures To maintain our tax-exempt status EPAK is required to keep records of your relationship to EPAK board members, officers or donors.I am related to EPAK in this way:*I am an EPAK board memberI am related to an EPAK board member, officer, or donornone of the aboveCertification & Agreement I certify that I am directly responsible for the application and use of these funds. If I am awarded this grant, I agree to: I will submit a post-project report along with scans of original receipts and tallied to email@example.com by December 15 (Fall) or June 15 (Spring). Return unused funds to EPAK or request in writing before using them. Leave any books, equipment, and materials purchased with these funds with my school or institution if I leave so that the children will continue to have the benefit of this grant. Not apply again until all receipts from prior projects have been sent in. I have read the grant parameters on the EPAK website and agree to abide by them when I apply for fall and spring grants. Agreement* I agree to these terms PhoneThis field is for validation purposes and should be left unchanged.