Classroom Use/Personal Items Rental Report

Due to Parent/Community Involvement Manager at least ONCE before end of program year.

 
Please use this form to record all items you have brought into your classroom to enhance the learning experiences of our Head Start children.  These must be items that were not purchased with Head Start funds and are not considered part of your permanent classroom inventory.  This must be submitted to the Parent/Community Involvement Manager as early in the year as possible so in-kind can be calculated for these items.  Thank you for your help!
 

Please provide the following contact information:

Name
Title

Please provide a list of All Personal Items you have used in the classroom this year. DESCRIPTION of ITEM, 
VALUE of ITEM, and LENGTH OF TIME ITEM WAS USED IN CLASSROOM must be included for each item for 
In-Kind to be usable:

 

Revised: August 17, 2011

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