STIPEND Letter of Intent

IMPORTANT INFORMATION

All stipend requests (except seasonal coaches) must be received by September 30th of the school year to be valid, unless otherwise noted.
If you are splitting a stipend, information for both applicants (#1 and #2) must be included.
New clubs must receive approval before meeting

Applicant #1*

Applicant #2 (if splitting stipend)

Applicant Email #1*

example@example.com

Applicant Email #2

example@example.com

Applicant #1 received this stipend last school year.*

YesNo

Applicant #2 received this stipend last school year.

YesNo

Stipend Type*

*Select the applicable location so your submission will route to the correct approver. Note: For any club or activity, select the school where that club or activity is based.

Stipend Title*

List the stipend for which you are applying

Applicant #1 Stipend Amount*

Per PAT Contract Appendix B & C.

Applicant #2 Stipend Amount*

Per PAT Contract Appendix B & C.

Optional Comments

ACKNOWLEDGEMENT

By signing this Letter of Intent, I agree to fulfill the duties and responsibilities as outlined in the job description for this position.

Signature #1*

Clear

Signature #2

Clear

READ BEFORE SUBMITTING

Retain the emailed autoresponse generated upon submission. It contains an edit submission link that allows you to return to your form, make changes, and resubmit.