CEC PTA Check Request Form
Submit this form to request a check from the PTA for reimbursement or to pay a vendor directly. You will need a photo or screenshot of a receipt or invoice to upload when submitting the form.
Name
*
First Name
Last Name
Title or Role (e.g. "Math Teacher," "PTA Staff Appreciation Chair"
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Amount Requested
*
What's this for?
*
(Short description of what's being purchased)
Budget Category
*
Please Select
2 - Membership (to pay NCPTA dues)
4 - Fundraising (spirit wear purchases, etc)
6 - PTA Management
7 - Department Discretionary Funds
8 - Clubs & Competitions
9 - Student Support
10 - Teacher/Staff Support
11 - Facilities
12 - PTA Grants
13 - Advocacy
PTA Management Subctegory
Please Select
Insurance
Software
Website/Domain?newsletter
PTA Office Supplies, Printing & Postage
Tax Preparation
Bank Fees
Volunteer & Member Recognition
PTA Leadership Development
Purchase ofThrift Shop Hours
PTA Discretionary Fund
NCPTA Dues
Department Discretionary Funds Subcategory
Please Select
Science
Math
Social Studies
English
Business/Marketing?CTE
EC
Office
Counseling
Clubs & Competitions Subcategory
Please Select
Science Olympiad
Science Fair
Robotics
Art
FCCLA
Beta
Dance
Quill
GSA
Other
Student Support Subcategory
Please Select
Planners
Field Trips
Student Programs & Celebrations
CCCC Student Programs & Celebrations
Student Recognition
Senior Celebration/Graduation
Health & Wellness Initiatives
Public Relations & Community Building
Student Events
Student Leadership Development
College Preparation
School Social Worker (for students in need)
Teacher/Staff Support Subcategory
Please Select
Staff Appreciation
Professional Development
Principal's Discretionary Fund
Make check payable to:
*
Address to which check should be mailed
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please upload a copy of a receipt or invoice.A screen shot from your phone may be the easiest way to do this. File types accepted: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.
*
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