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2017-2018 Request for LMMS PTA Funding

LMMS staff, please complete this form to request PTA funding. Please feel free to type into this form, or
print the form and handwrite responses. Please use extra space if necessary.

Title of Initiative or Project:


Contact Person: email:
Phone(s):

Briefly describe initiative and why PTA should support it:

_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

Please verify that you have requested the needed funds from DPS, through Dr. Carmon, and provide her
response:

Have you requested funds through any other source? If so, what was result?

Have you consulted with other staff about your idea? What feedback did they offer?

Please provide a budget for this initiative:


Expenses
Item Amount

TOTAL

If you anticipate there will be any income offsetting the expense, please list here:

Return to Brian Stull, brianstull@gmail.com, 917-238-5491

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