Chamberlin PTO - Request for Funds
Complete this form to request financial support from the PTO. To be considered/approved at the next PTO meeting, the form must be completed on or before Wednesday one week before the next meeting. Please upload supporting documentation at the end of this form.
Chamberlin Elementary School PTO
262 White Street, South Burlington, VT 05403
Date Form Completed
Please include your "title" or connection to the purpose for these funds; e.g. teacher, project coordinator, etc.
For what purpose are the funds requested?
Who will these funds benefit?
Are these funds budgeted?
Funds required by date
Make check payable to
Check Delivery Information
Use this field to describe how to deliver the check. Examples: Mail (include full address). Leave with Rose at front desk. Someone will pickup (include his/her name). Put in my box at school., etc.
Please upload any documentation supporting your request such as a a copy of an invoice, a contract, receipts etc. Each window below allows for only one file to be uploaded.
FOR OFFICE ONLY
Authorized By (1)
Authorized By (2)