Total School or Organization Population _____________________________________________

What is your fundraising goal? ________________________________________

Desired Dollar Amount To Be Raised ___________________________________

How much have you raised annually with other programs?

• $0 - $500
• $501 - $1,000
• $1,001 - $5,000
• $5,001 - $10,000
• $10,001 or more

What other types of fundraisers are you using or have you used? ___________________________________________________________

Are there certain times of the year when more fundraising dollars are needed than others? ___________________________________________________________

What events are scheduled during the year where Simplified SCRIP information could be distributed? ___________________________________________________________

Are the fundraising dollars allocated for a specific use? If so, how will the dollars be used? ___________________________________________________________

Are there any especially active groups that should be addressed? For example, booster groups? ___________________________________________________________

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