PTSA
Horace Mann Elementary

BUDGET REQUESTS
Please note: The Board of Directors will review all requests.
Submit completed forms to the President(s) or Treasurer(s).
Name of person submitting request:______________________________
Please check one:
□ Classroom Expense
□ Scholarship
□ PTSA Committee:_______________________________________
□ School Club:___________________________________________
□ Other: ________________________________________________
Amount Requested: $_____________________________
Please explain why these funds are needed and how they will be used:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
For PTSA Committees and Clubs only - Will anyone else be contributing toward this request (i.e. corporate sponsors, fund-raisers, parents)?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Signature:__________________________________________________________
Please do not write below this line.
Amount Approved $__________ Note: Receipts will be requested prior to disbursement of funds.
Comments:_________________________________________________________
Signature(s)________________________________________ Date:__________
Signature(s)________________________________________ Date:__________