ACT 195/90 Request Form
Dear Resident of PENNSYLVANIA,
State legislation authorizes the purchase of instructional materials by the Secretary of
Education to children enrolled in kindergarten through grade 12 in non-public schools. We use this grant to purchase library, classroom materials and equipment.
In order to participate in the program, a parent/guardian of each child attending a non-public or private school must individually request a loan of instructional materials and equipment. The enclosed individual request form fulfills that requirement. Please sign the form, date it, and return it to the school immediately.
Thank you for your continued assistance and cooperation.
Sincerely,
Katt Barr
Registrar
****THIS PROGRAM IS AVAILABLE TO PENNSYLVANIA RESIDENTS ONLY.****
CERTIFICATE OF INDIVIDUAL REQUEST FOR LOAN OF INSTRUCTIONAL MATERIALS & EQUIPMENT
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