Eastern Washington Music Educators Association
Grant Verification Form

EWMEA Member Name______________________________________________
School ____________________________________________________________
School Address______________________________________________________
City/Zip____________________________________________________________
Contact Number____________________ E-mail__________________________Grant Title_________________________________ Grant Number____________
Amount Requested $______________ Amount Approved $ _______________
Scheduled Date of event/clinic__________________________________________
Site of event/clinic___________________________________________________
Make check payable to: (please print)_______________________________________

Congratulations!
Your request for a grant has been approved by the EWMEA Executive Board! The EWMEA is pleased to assist you in funding your event or clinician and hope that you will have a successful experience. We are delighted to be a part of your event/clinic and wish to remind you that as a part of our grant we request we be given credit verbally and in writing. We would appreciate any pictures of the event/clinic to share with the EWMEA members.
In order for us to process payment, it will be necessary for you to complete this form AFTER the event/clinic and return it to the EWMEA treasurer at the address given below. If you wish to have the check processed BEFORE the event, please contact the EWMEA treasurer and make arrangements at least five (5) days prior to the event/clinic. The check will be mailed to you as soon as we receive your signature on the bottom of this form.
Thank you!

Margo Dreis
EWMEA Treasurer
Salk Middle School
6411 N. Alberta Ave.
Spokane WA 99208-4499IN-SERVICE EVENT or CLINIC

My signature indicates the completion of the event/clinic as authorized above.

______________________________________________________________________________
Signature of EWMEA member requesting funds