Max Harris Memorial Fund Request Form

Max Harris Memorial Fund Request Form

Application for 2024-2025 School Year
The Max Harris Memorial Fund was established by Max Harris' family and friends after his untimely death in 2019. Max, a 2015 graduate of Hume-Fogg, was a fun-loving person with a generous spirit and the Max Harris Fund was created so that his generous spirit would be shared to help students in need. The Max Harris Fund is used to assist students at Hume-Fogg Academic Magnet High School with the financial support they need to participate in school-related activities (eg. school field trips, academic materials, extra-curricular fees, sports equipment, etc.).

Requests are reviewed as received. The Max Harris Fund is a restricted, discretionary fund managed by the Hume-Fogg Association (HFA). All requests are approved by the Max Harris Fund committee, which includes a member of the Harris family, the HFA president & a team of Hume-Fogg staff members. ALL REQUESTS ARE PRIVATE.

To be considered for funding, you must list the total cost of the request, how much is family- or student-funded and/or how much has been raised through fundraising to reduce the cost. Follow-up on this request may come from a teacher, counselor, coach, or individual processing this request for Max Harris committee consideration. Funds will not be distributed to students or families and must have documentation to be paid.

Please email Rhonda Bingham at rhonda@guicesmith.com if you have any questions or concerns and she will be happy to assist you in completing this form.
Date of request*

MonthDayYear
Date
Name of individual submitting request*

First NameLast Name
Role*
Email*
example@example.com
Phone number*
Please enter a valid phone number.
Grade of student*
Please type short description of expenditure (i.e. describe equipment, fees, field trip with destination, etc.)*
Is expenditure required or mandatory?*
Please type a complete description of the expenditure including the class, club or sport with as much information as you can provide such as trip destination, etc.(Please email any additional paperwork to rhonda@guicesmith.com)*
Has any paperwork been emailed?*
Total Cost of Expenditure*
Less: Amount contributed by family/student*
Less: Amount raised through fundraising*
Is this expense required or optional?*
If total funding of this expense is not approved, would partial funding of this expense be helpful?*
Date funds are needed*

MonthDayYear
Date
Check or credit card to: (invoices or documentation required for payment)*

First NameLast Name
If check needs to be mailed, please include address for mailing:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student in need of assistance*

First NameLast Name
Should be Empty: