Mary Herbert Education Center 1700 W. Seventh Ave., PO Box 1008, Emporia, Kansas 66801 620-341-2200 * www.usd253.org

USD 253 Board of Education Policy KI-R Free Materials Distribution in Schools states: No student shall be forced to participate in the distribution of any non-school materials in the schools. Therefore, no materials subject to this policy will be distributed to every student in a school/grade/class. Materials subject to this policy will be posted on the district's public website (here) and some paper copies will be placed in a location within the school that is accessible to all students and parents. No school will distribute items subject to this policy without first receiving notification of approval for distribution from the Central Office.

APPLICATION TO DISTRIBUTE/POST FREE MATERIALS Attach/email a copy of item(s) requested to be distributed and posted online. Once approved, applicant is responsible for making copies and delivering materials to the schools. The Community Relations Office will be responsible for posting the flyer on the district website. Date of Distribution Name

Organization

Address

Phone Email

How does your organization/event support the students and families in our community? _

What is the purpose of the materials/information? ________________________________________________

Who is the material/information intended for? School(s) and grade level(s): ________________

How, when, and by whom will the materials be delivered to the individual school(s)?

Signature of Applicant __________________________________ Date _______________________ Final approval granted

(date) 07/2015

Signature of District Administrator

Final approval denied

(date)

07/2015

Distribution Request Form.pdf

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