Champions of the Classroom Application

Name(Required)

First Last

Title (Mrs/Miss/Ms/Mr, etc)(Required)

E-mail(Required)

Cell Phone Number(Required)

How many years have you been teaching?(Required)

What grade/subject do you teach?(Required)

What college did you attend?(Required)

School District(Required)

School Name(Required)

School Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

School Phone Number(Required)

Principal's Name(Required)

First Last

Principal's E-mail(Required)

What inspired you to become a teacher?(Required)

What is your FAVORITE part of being a teacher?(Required)

What do you plan to use the $500 for in your classroom?(Required)

This can be a general idea, no need to outline a comprehensive plan.

DonorsChoose(Required)

I understand the $500 will be gifted using third party platform, DonorsChoose.

Consent(Required)

I have read and agree to the Terms & Conditions of this program.