CCI 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 - PTA Management
3 - Department Discretionary Funds
5 - Student Support
6 - Teacher/Staff Support
7 - Facilities
PTA Management Subcategory
*
Please Select
Insurance
Software
Website/Domain/newsletter
PTA Office Supplies, Printing & Postage
Tax Preparation
Bank Fees
Volunteer & Member Recognition
PTA Leadership Development
PTA Discretionary Fund
NCPTA Dues
Department Discretionary Funds Subcategory
*
Please Select
Business/Marketing (CTE)
Counseling
EC
School Social Worker
Science CEC
Science ONE
Math CEC
Math ONE
Social Studies CEC
Social Studies ONE
English CEC
English ONE
Office
Library
Public Relations/Community Building
Student Support Subcategory
*
Please Select
CCCC Student Programs & Celebrations
College Preparation
Student Events
Planners
Field Trips
Prom
Senior Celebration/Graduation
Student Leadership Development
Student Programs & Celebrations
Student Recognition
no funds - Health & Wellness Initiatives
Teacher/Staff Support Subcategory
*
Please Select
Principal's Discretionary Fund
Staff Appreciation
no funds - Professional Development
Facilities Subcategory
*
Please Select
no funds - Facility Improvements
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, jpg, jpeg
*
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