School Partnership Intake Form

Thank you for your interest in partnering with the Val A. Henry Legacy Scholarship Fund, Inc. We are committed to supporting underserved schools by providing educational resources, school supplies, and opportunities to strengthen technology and science learning environments.

This form helps us better understand your school’s needs, priorities, and areas where our organization may be able to provide support. The information you provide will assist our team in evaluating potential partnerships and identifying ways we can work together to benefit your students and school community.

Submission of this form does not guarantee support but allows our team to review your request and follow up to explore opportunities for collaboration.

We appreciate the important work you do for your students and look forward to learning more about your school.

School Information

Primary Contact

School Profile

Requested Support

Readiness & Commitment


By submitting below, I affirm that the information provided in this application is true and complete to the best of my knowledge. I understand that submission of this application does not guarantee acceptance as a volunteer with the Val A. Henry Legacy Scholarship Fund, Inc. If selected, I agree to support the mission of the organization and uphold its values through my service.
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