Parent Teacher Student Association

555 Atlantic Ave. Alameda, CA. 94501 Tel.: 510.748.4021 Fax: 510.748.4121

Alameda Science & Technology Institute

ASTI PTSA PTSA FUND REQUEST FORM

*This form should be used for the school for a project, program, club, event, equipment, etc. This is NOT a reimbursement form* Funding request should be presented in person at a PTSA meeting in order to answer any questions that may arise about the request. To be eligible for funding from PTSA, each Club/Programs must contribute to volunteer hours. *Refer to the Chart Attached* This form must be completed and submitted to the executive board for approval before general meetings. Executive Board Meetings (every 1st Wednesday). General Board Meeting (every 3rd Thursday).

Date: __________________ Requesting Teacher/Organization/Event: ____________________________________________________ Contact Person: ________________________________________________________________________ Phone: ________________________________ Email: _______________________________

Have you requested any funding from PTSA for this expenditure before?__________________________ If yes, when and how much? _____________________________________________________________ Have you been granted funding from the PTA for this expenditure before? If yes: When and how much? __________________________________________________________________ Have you spent it? _____________________________________________________________________

Along with this form please attach a letter with the following: 1. Amount you are requesting 2. Give a brief description of the request, including the funds/items needed etc. 3. Include a detailed Cost Estimate (If applicable, include model numbers, name of supplier who gave you the quote, receipts, invoices, and/or attach fact sheets 4. Give a brief description of how this request will benefit the school and/or the students. Whom will this benefit (e.g. all students, specific grade, PE, Math, etc.). How many students will this benefit? 5. Please include signatures from the principal and the teacher/organization leader. GOOD LUCK!

Parent Teacher Student Association

555 Atlantic Ave. Alameda, CA. 94501 Tel.: 510.748.4021 Fax: 510.748.4121

Alameda Science & Technology Institute

PTSA USE ONLY Date: _________________________ Request: Approved Denied Different amount approved: _____________

If Denied why? _______________________________________________________________________

Budget Line Item Funds were drawn from: _____________________________________________ Made out to:______________________________ Check # _____________

President Signature: _______________________ List of PTSA Event in in which we need Volunteers

Treasurer's Signature: _______________________