C.E. Jacobson Elementary PTO

Fund Request Form

Please place this completed form in the PTO mail box in the office.

Date:

Teacher’s Name:

Grade:

Amount of request?

What will the money be used for and when?

How will the purchase be used in the classroom or to enhance curriculum?

When will you be able to present to the PTO at their monthly meeting?

(One month prior to date needed by for pre-approval before spending)

Committee Use Only

__ approved                  __amount approved      ________ check number

__ denied