EITC Eligibility Support Letter Request Form

This form must be completed and submitted by any organization seeking approval from The School District of Philadelphia as an (1) Eligible “educational improvement organization” (EIO); (2) scholarship organization (SO); or (3)Pre-kindergarten scholarship organization (PKSO) for the Pennsylvania Department of Community and Economic Development’s (DCED’s) Educational Improvement Tax Credit Program.nnAny questions please email grants@philasd.org.

Name of Organization * Required
Contact Name * Required
First Last
Title of Contact Person * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone * Required
Email * Required
Please indicate the specific date by which the support letter is required * Required
MM slash DD slash YYYY
Did you request a support letter last year? * Required
- Yes
- No
Were you given approval as an EITC organization?
- Yes
- No
If yes, how much money did you receive as a result of the listing:
If you were approved as an EIO, please upload the document of the "Appendix V. Education Improvement Organization Monitoring Report" that you were required to submit to PDE. If you were approved as an SO or PKSO, please attach the document or submit a link below of "Appendix IX: Scholarship Monitoring Report.
Max. file size: 10 MB.
YOUR REQUEST FOR A NEW LETTER OF SUPPORT WILL NOT BE PROCESSED WITHOUT THIS DOCUMENT.
Please briefly describe the overall purpose of your organization. Identify the specific project(s) for which you are seeking approval for EITC listing, describe the types of services provided in the past and and changes/additions you plan to make for the coming year. Please identify specific benefits for the School District, etc. * Required
Target Population. Please identify the District schools, teachers, students, grades, etc., who were served by this/these projects in the last year for which you received funding. For each school, please indicate the number of students impacted by the project and your contact at the school. Do you anticipate any change in this information for the coming year? * Required
If you have not received EITC funding in the past, please project what you anticipate what your target population (see above) will be for the coming year. * Required
Has your program(s) undergone an evaluation? * Required
- Yes
- No
If yes, was this evaluation conducted internally or by a third party?
- Internally
- Third Party
If applicable, please upload a copy of the evaluation(s), or a summary of the results
Drop files here or

Max. file size: 10 MB.
Is there any cost to schools, students or families to take advantage of the program for which you are requesting EITC funding (e.g. tuition, admission, transportation, etc.) * Required
Please identify any time demands on students/teachers, or other activities that will result in interference with instructional time. * Required
Please describe any data requests that will be required to conduct the program. * Required
Please identify the name, title and office of District staff (Central Office and/or school-based) with whom you have discussed this project or worked with during this past year (this does not include staff from the Office of Grant Development.) * Required
Please upload a draft of the letter of support you would like from us. While this is optional, it is strongly recommended for projects with upcoming deadlines.
Max. file size: 10 MB.
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EITC Eligibility Support Letter Request Form

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EITC Eligibility Support Letter Request Form

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