Distribution of Materials Request Form

Organization name:

Address:

Type of organization:

• Governmental
• Non-profit
• For-profit

PLEASE NOTE: If you are a for-profit organization asking for distribution of your materials, the class or service you wish to provide must take place in a Portland Public School District building, occur beyond the school day and only be available for students of the school where you wish to distribute the materials.

Contact person:

Email:

Phone:

Fax:

Title:

Description:

File(s) of your notice:

PLEASE NOTE: The file(s) should be in either PDF or MS Word format (PDF is preferred).

Where are the materials to be distributed?

• Community Information Display Area (CIDA)
• Materials sent home
• After-school event intended primarily for parents

PLEASE NOTE: All non-school group materials – paper and electronic – that are distributed through Portland Public Schools must display the non-discrimination statement of that non-school group. This statement is required regardless if a group is a non-profit, for-profit, PTA, school booster club, individual school foundation, or the Portland Schools Foundation. No PPS disclaimer is required, only your non-discrimination wording on the document you submit for approval.

Please indicate which schools materials are to be distributed to below.

• All elementary and K-8 schools
• All middle and K-8 schools
• All high schools
• These specific schools:

You will need an official approval form to show school administrators. Please indicate below how you would like to receive the approval form.

• Email
• Fax
• Call for pick-up