PTO Funding Request Form

Pauline Memorial Catholic School
PTO Funding Request Form
For Non-Budgeted Requests

Please print and complete this form to have your request for funding considered by the PMCS PTO.

Name of person making request: ________________________________________________________________________________

Description of item or service for which funds are being requested:
__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

Cost: $_______________________ Is this a one time cost? YES NO

Is there any future or on-going cost (such as maintenance) associated with this request? ____________________________________
If yes, please describe:
__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

Benefit or purpose of request: _________________________________________________________________________________

__________________________________________________________________________________________________________

Please include the following applicable documentation:
                1. Bid (up to three bids for cost comparison is helpful)
                2. All shipping, handling, warranty, installation costs associated with this request
                3. All ongoing maintenance or yearly upgrade fees
                4. Documentation showing maintenance and repair policies
                5. Documentation or explanation supporting the rationale and/or benefit of your request

PMCS Principal Review
(Faculty and student requests must have principal approval before being submitted to PTO.)

Principal comments regarding this request: ________________________________________________________________________

__________________________________________________________________________________________________________

Principal approval for submission of request: YES NO

_____________________________________________ __________________________________
Principal Signature Date