Summit Academy»HS/MS FACT

Summit Academy HS/MS Teacher Requisition Form

Teacher’s Name: ________________________________________________________

Today’s Date: ___________________________________________________________

Event Date: ____________________________________________________________

1. Fill out this form to the best of your ability.

2. Give the form to your FACT or place in mailbox.

3. The FACT Board member will present the request at the next FACT meeting.

4. The FACT president will notify you of the decision.

Please be aware the process may take some time and completing this form is not aguarantee that funding will be approved by the FACT.

ITEM COST

Please use the lines below to explain the importance or rationale for this purchase/event.

____________________________________________________________________

FACT Use Only

Date Processed ___/___/___

___ Accepted ___ Denied

The above items/amount has This request could not be

been approved. processed because

__________________________

President’s Initials: ______ Treasurer's Initials: ______

HS/MS FACT-PTO