Name and ext. - first name/ last name/phone ext. *
Your answer
Position Title *
Must work directly with students and be in charge of determining what is purchased for your classroom/ program.
Your answer
Campus *
Please list the campus you serve. If you serve multiple campuses, please list all of them.
Your answer
Grade level/ content area/ program title *
Please list the grade level(s), content area(s), and/or special program title this request serves.
Your answer
Fundraiser Request *
Briefly describe what is being requested. Example: 5 calculators. Please limit response to 2 sentences.
Your answer
Needs Statement *
Please include a brief description of the need you are requesting a fundraiser for and what instructional or enrichment purpose it serves. Must include DIP goal and Strategic Plan strategy. Example: Why do you need 5 additional calculators. Please limit your response to 6 sentences.
Your answer
Fundraiser Budget Detail *
Provide the following information: Item, price per item, quantity of item, BISD vendor, vendor # of item.
Your answer
Fundraiser Request Total *
Please provide the total dollar amount you need to raise to meet your requested need. Must be $500 or less. (10% will be added to the total to cover fundraising fees.)
Your answer
In the event your fundraiser is not fully funded, please choose the appropriate disbursement of funds. *
You much choose 1
BISD Budget Verification *
This request is not currently covered in my BISD budget, my remaining budget is earmarked for an expense later in the school year, or I have expended my budget total and still have this need.
Yes
No
BISD Budget Verification
Yes
No
BISD Budget Verification
Technology Verification *
I have verified that this technology purchase can be supported by BISD technology department. My approved Technology Purchase Request form is attach below
Yes
No
N/A
Technology Verification
Yes
No
N/A
Technology Verification
Technology Purchase Request
Please paste Technology Purchase Request approval link below
Your answer
Facilities Verification
My purchase would require a modification to my current facility space. I have verified and received approval for the facilities modification. My approved facilities modification form is attached below.
Yes
No
N/A
Facilities Verification
Yes
No
N/A
Facilities Verification
Clear selection
Facilities Modification Approval
Please paste Facilities Modification Approval link below
Your answer
Administrative Approval - You must receive approval from your campus principal to apply for a Coins for Classrooms fundraiser. By clicking YES below, you are confirming that your principal has approved this request. *
Please paste Administrative Approval link below
Submit
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