Instructions:

  1. Complete the following form and press Submit to send it to the Salt Lake Education Foundation, who will check the availability of vouchers.
Counselor/Family Support Assistant:
Required: Please enter your Name
Email:
Required: Please enter your Email
School:
Required: Please enter your School

Student's Name:
Required: Please enter the Student's Name
Grade:
Required: Please enter the Student's Grade
Age:
Required: Please enter the Student's Age
Parent/Guardian Name:
Required: Please enter the Parent/Guardian's Name

I would like to request the following voucher(s):  
  Shoe Voucher
  Walmart Voucher

Questions or Requests (e.g. special needs, time restraints, adult requests):
   
 

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