Stewartsville PTO Funding Request Form

If you have a funding request, please print out form below or get a copy from Mrs. Landess.

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Stewartsville PTO                                                     Funding Request Form Completion of this form will help the PTO to allocate available funds.   A submission of this request does not guarantee funding.  Applications for funding will be reviewed by the Principal and the PTO at the regular scheduled meetings.  Please return the completed form to the PTO mailbox or submit to a PTO officer by the first of the month for review. Name: ______________________             Date of Request: ______________ __ Phone Number: ___________________ E-mail:___________________________ Title of Project/Name of Club or Department: ____________________________ Request Amount: ____________  Will this be an annual request? ____________ Describe the request (Please attach additional information to support your request): __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ How many students will benefit from this funding? _________________________ Which grades/classes will benefit from this funding? ________________________ What are the goals/benefits of this funding?_______________________________ __________________________________________________________________ __________________________________________________________________ Principal’s Signature: ______________________________ Date: _____________ For PTO use: PTO action:       Approved        Rejected        Deferred Date: _______________ Remarks: __________________________________________________________________ _____________________________________________ _____________________ Signature of PTO Officer: _____________________________________________ Date request fulfilled: _________________ Funding Given to: ________________

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*Printing Instructions* *Highlight the form * Right click *Click Print *Click Selection in the Print Range section *Click Apply *Click Print