Individual Student Funds Support Request

Rod’s Project offers financial assistance to those students involved in agriculture-related activities/organizations attending East Clinton High School. Please allow 7-10 business days from date of receipt for action on your fund request

Student's Name *

First

Last

Parent/Guardian Name *

First

Last

Contact Phone # *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Total $ Amount Requested *

Please provide the purpose of the request *

The following items should be included: • Purpose and description of projected event, travel, and/or supplies requested • An itemized list of projected event or supply expenses.

File Upload (pdf or jpg)

Click or drag files to this area to upload. You can upload up to 4 files.

Optionally provide any supporting receipts or other applicable documentation.

Checkboxes *

I certify the above information is true and that I am an East Clinton High School student

Rod's Project

Helping meet the needs of East Clinton students in memory of Rod Danes!

Individual Student Funds Support Request