Form

Leepfrog Technologies Donation Request Form
We appreciate your request for funding and will respond within four weeks to your request.

First name*

Last name*

Job title

Email*

Phone number

Organization Name*

Street address*

Street address 2

City

State/Region

Postal code

Is your organization located in Iowa?*

Yes

Does your organization have 501(c)3 charitable status? *

Yes

Does your organization discriminate based on race, color, gender, religion, disability, sexual orientation or national origin?*

Yes

Which areas of our focus does your proposal seek support for?*

Elementary and Secondary Level - robotics and coding clubs and programs

College Level - computer science and coding clubs and programs

Adults - computer science and coding programs

Will your proposal impact underserved and/or underrepresented populations in the computer science field?*

Yes

Please share your proposal details.

What is your funding request?