Please submit a completed request form to the Boosters’ box in the M-A mailroom, or email to bethhenninger@yahoo.com, or fax to 650-233-9796 no later than 3 p.m. on January 21, 2011.

Follow up  by emailing bethhenninger@yahoo.com if you do not receive confirmation within 48 hours that your request has been received!

Name_______________________________________________________

Coaching position at M-A_______________________________________

Phone at M-A____________________________  Home/Cell Phone ___________________________

E-Mail Address ______________________________________________________________________

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Requesting mini-grant for:  (descriptive title)  _______________________________________________

Describe, in detail, what you are requesting.  Include names of items, cost details, and explanation of how this will benefit your athletic program. 

If available, attach any descriptive sheets or pictures that might help the Boosters fully understand your request. 

Uniforms are defined as apparel that can be used in subsequent seasons.

Coaching stipends for personnel not covered by the District will be considered. 

Transportation will NOT be considered. 

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

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TOTAL GRANT REQUEST:  (Include tax, shipping, handling, and any other expenses) $___________

Balance of your team’s ASB account $____________  Planned use of those funds? _________________

____________________________________________________________________________________

Would partial funding of this request be helpful?    Yes       No

Have you requested or will you request funding from any other source?    Yes      No

If yes, from what other sources have you requested or will be requesting funds?

_______________________________________________________________________________

Questions?      Please contact:

Di Gow                       dianegow@crimson-consulting.com   650-575-8779

Beth Henninger           bethhenninger@yahoo.com                650-302-2443                                                 revised 05/10