UPPER GRAND LEARNING FOUNDATION

500 Victoria Road North, Guelph, Ontario N1E 6K2

REQUEST FOR SCHOOL FUNDS APPLICATION FORM

To be completed by the school Principal

Name of School ____________________________________________________________________

Purpose of Funding _________________________________________________________________

_________________________________________________________________________________

Total Cost $ _________________ Amount Requested $ _____________________

Sources of other funds _______________________________________________________________

Describe the learning objectives of the above _____________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

I, _________________________________________, have reviewed this application and

approve this use of School Funds.

Signature of Principal_______________________________________________Date_____________

Make cheque payable to ______________________________________________________________

******Please attach any receipts, invoices or purchase orders******

Complete and return to:

UPPER GRAND LEARNING FOUNDATION

500 Victoria Road North, Guelph, Ontario N1E 6K2

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For UGLF use only

Reviewed by UGLF: ____________________________________ Date___________________

initial

Date paid ________________________________Cheque Number _______________________