Project Backpack Sign Up Sheet – IVY

Name

Address line 1

Address line 2

City

State

Zip Code

E-mail Address

Please provide links to your social media handles.

Facebook

Instagram

Twitter

TikTok

Youtube

Are you an Ivy Box subscriber?

What is your chapter of initiation?

What is your current chapter?

Are you an HBCU Graduate?

If so, please list which school(s) you attended.

Are you a teacher?

If so, what grade do you teach?

If you are not a teacher, what is your occupation?

School Information (Backpacks will be going to schools).

Why is it important for your school to receive these backpacks?

What is the number of students in the incoming class that you are requesting backpacks for?

What number of backpacks are you requesting? (Maximum 35)

School Name

Address line 1

Address line 2

City

State

Zip Code

School Principal Name

Is this a Title I School?

If selected, will you return content on gifting day (i.e., photo or video content)?