Teacher Allocation Request

 FAME DISBURSEMENT REQUEST 

School Year

Teacher's Name

Teacher's Email

School

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Item #

Item Description

If Online, Website

Invoice Y/N

Qty

Cost

Total Cost

1

2

3

4

5

Item 1 Request Justification

Can the requested item be used by any other CCA Fine Arts Program?

If CCA FAME Booster Club cannot allocate the entire amount are there other funds available?

If yes, what amount and where will the remaining funds come from?

Please provide a written justification for the request.

Item 2 Request Justification

Can the requested item be used by any other CCA Fine Arts Program?

If CCA FAME Booster Club cannot allocate the entire amount are there other funds available?

If yes, what amount and where will the remaining funds come from?

Please provide a written justification for the request.

Item 3 Request Justification

Can the requested item be used by any other CCA Fine Arts Program?

If CCA FAME Booster Club cannot allocate the entire amount are there other funds available?

If yes, what amount and where will the remaining funds come from?

Please provide a written justification for the request.

Item 4 Request Justification

Can the requested item be used by any other CCA Fine Arts Program?

If CCA FAME Booster Club cannot allocate the entire amount are there other funds available?

If yes, what amount and where will the remaining funds come from?

Please provide a written justification for the request.

Item 5 Request Justification

Can the requested item be used by any other CCA Fine Arts Program?

If CCA FAME Booster Club cannot allocate the entire amount are there other funds available?

If yes, what amount and where will the remaining funds come from?

Please provide a written justification for the request.

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ABOUT US

FAME Fine Arts Booster Club is a non-profit group committed to supporting education and activities in art, drama, speech, choir, and band for all Clear Creek Amana students, from kindergarten through 12th grade. Through our fundraising events and volunteer activities, we have been able to provide the district fine arts teachers with funds for needed supplies to enhance the fine art experiences offered to all CCA students.

ADDRESS

CCA FAME

PO Box 23

Tiffin, IA 52340

ccafame@gmail.com

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