Teacher Purchase Request Form printable pdf download

BRF PTO

Purchase Request

The PTO funds various projects that benefit the students of the BRF Elementary and Middle Schools. Completion of this form will

help the PTO to allocate available funds. Submission of this request does not guarantee funding. Please note that the purchase of

items prior to project approval does not guarantee reimbursement.

Today’s Date:_____________________

Date Needed:_______________________

Requested By:________________________________________________________________

School:__________________________

Grade:____________________________

Total Amount Requested: $_______________________(include shipping/handling if necessary)

Briefly describe how this purchase will benefit your students:

The number of students benefiting from this request?___________________ (rough estimation)

Have you approached other sources for support? ______No _______Yes (if yes list sources)

__________________________________________________________________________________________

To confirm that the school administration is aware of your application, please obtain a signature

from your building principal before submitting your request.

Principal’s Signature:______________________________ Date:_______________________

For PTO Use Only

Date Approved___________________________________

Amount Approved: $_______________

Request Denied

Request Tabled

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Comments:

PTO Executive Board Member Signature:______________________________________________________

Date Purchased:_____________________ Payee:_______________________________________________

Check #:_____________________

Credit Transaction

Teacher Purchase Request Form