Online Verification Form for Sponsored Papers

Please complete and submit the form below to verify receipt of newspapers requested for classroom instruction. This verification is required by our auditors and must be on file in order for you to continue receiving sponsored newspapers. Thank you for your assistance.

I certify that I received a total of (enter number of copies received each day)
of  The Star Tribune

every    Mon  Tue  Wed  Thu  Fri  Sat  Sun (check all that apply)

for a total of (total number of copies received during the sponsored program)
during the School Year. (select school year)

Sponsored Program:

2015-16 KidsWIN Print - January 2016 - June 2016 Monday - Friday
2015-16 E-edition - 5day January 2016 - June 2016
2015-16 E-edition - 7day January 2016 - June 2016

Teacher Name:


School Name:

School Address: