Great Meadows Regional School District

GMRSD PTO Grant Request Form

Date: _________________________________________________________

Requestor’s Name:______________________________________________

Subject/Grade:__________________________________________________

School: ________________________________________________________

Amount Requesting:______________________________________________

ATTACH 3 QUOTES OF THIS ITEM

Item Requested and Reason for Request: _______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Signature:  ___________________________________________

Office Use:

Date:  _______________________

Approved _____     Denied ______

Amount Approved:  _______________________________________________

President’s Name: ________________________________________________

President’s Signature:  ____________________________________________

Treasurer’s Name:  _______________________________________________

Treasurer’s Signature: ____________________________________________