M-A PTA Reimbursement Request

M-A PTA Reimbursement/Payment Request
Date

MonthDayYear
Date
Total Reimbursement Request Amount

Expense Information

	Date of Receipt	Vendor/Store/etc.	Account/Subcategory-See below	Description	Amount
1
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Total Amount*
LIST OF ACCOUNTS/SUBCATEGORIES

FACULTY & ADMIN ASSISTANCE
College Day Breakfast
Community College Night
Principal's Fund

STAFF APPRECIATION
New Teacher Luncheon
Year round Staff Appreciation Events (please indicate event)
Volunteer Appreciation Luncheon
PTA Kitchen Supplies
Platinum Plus Banner

GRADUATION PROGRAMS
Grad Night
Senior Lunch
Graduation Flowers

MINI-GRANTS-Please indicate the year, mini-grant season and mini-grant # as shown below:
20XX Fall Mini-Grant #XX
20XX Spring Mini-Grant #XX

OFFICE/GENERAL ADMINISTRATIVE EXPENSES
Board Expenses
Treasurer Supplies

OPERATING EXPENSES
Tax Preparation
Website/Internet

PARENT SERVICES
Parent Socials
8th Grad Info Night
Holiday Gift Drive
Parent Education (speaker fees)

SITE COUNCIL SPECIAL PROJECTS
ELAC Parent Meeting Support
Student Publications

AWARDS & SCHOLARSHIPS
Senior Awards Night
CSF Scholarship Application Fees
PTA Scholarship

STUDENT SERVICES
At Risk Student Support
Freshman Challenge Day (lunch, supplies, etc.)
Canned Food Drive
Holiday Gift Drive
Math Contests (Entry fees, trophies)
Service Learning (Funds used to support Student Leadership clubs)
Student Leadership
File Upload*

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Make Check Payable to:*

First NameLast Name
Mail Check to this Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Submitted By:*
Signature:*

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Phone Number:*
Please enter a valid phone number.
Email:*
Checks will be run monthly. All reimbursement request forms must be submitted within 90 days.
Should be Empty:

M-A PTA Reimbursement/Payment Request