Classroom Funds Request Form

Funding is a way for The Arc of Dearborn County to support you in your educational efforts! We are happy to announce the availability to your moderate classroom of funds - with $20 available per student, per school year as a single, comprehensive request.

Our organization is working hard to provide integrative opportunities for area residents who have intellectual or developmental disabilities regardless of their age. Since 2008, The Arc of Dearborn County has provided summer day camp opportunities - in 2010, with the opportunity for teachers who serve as staff members to receive a Nintendo Wii™ system for their classrooms.

Along with classroom technology, we believe 'teachable moments' can occur during field trips. Please use this form to make your request and help us understand how your funds will be used.

* These Fields Are Required

*Teacher's Name:

*School of Request:

*School Address:

*City:

*State:

*Zip Code:

*Email:

Telephone:

Number of participating students:

Number of classrooms involved:

Tentative date of field trip:

For field trip fund requests
Please provide information about the site of the trip and what learning or skills will be practiced during the trip:

For technology or other requests
Please describe the envisioned usage and benefits for your students

*Security Answer?:

Finally, we invite you to join The Arc of Dearborn County to meet other area educators and families. We are committed to helping people with developmental disabilities achieve the ideals of work, independence and self-reliance and hope you'll be with us every step of the way!