ࡱ> EGD%` (bjbjٕ 84# xxxxxxx~~~8LV*8NNN9!5$Mh Ex65966 xxNNQ2226@xNxN2622xx2N ӷ~v42g02KxK2Kx2>,2+$O  "6666VVVd VVV xxxxxx Lakeview Parent Teacher Organization Funding Request Form Funding requests will be reviewed at the monthly LPTSO meetings. Funding decisions will be made by a majority vote of members present at the LPTSO meeting. Please include all relevant information regarding the request for funding. It is highly recommended that the individual requesting funding be present at the meeting to present the request and answer any questions that may arise. If the individual is not able to attend the meeting, please provide all relevant information to the LPTO Teacher Representative. Deadline for Funding Request: Two weeks prior to the LPTSO meeting Submit funding request to one of the LPTSO Co-Chairs: Jamie Hahn jamie.hahn@dhhs.ne.gov Pam Schmeling - pkconn@windstream.net Contact Information Name:  FORMTEXT       Title:  FORMTEXT       E-Mail Address:  FORMTEXT       Funding Information Project Title:  FORMTEXT       Estimated Total Cost: $ FORMTEXT       Amount Requested from LPTO: $ FORMTEXT       Description of Project (*be specific):  FORMTEXT       Budget Details (*be as specific and accurate as possible):  FORMTEXT       Discipline Area(s):  FORMCHECKBOX  Art/Music/Theatre  FORMCHECKBOX  Literature/Writing/Speaking  FORMCHECKBOX  Family/Consumer Science  FORMCHECKBOX  Math  FORMCHECKBOX  Health/Physical Education  FORMCHECKBOX  Science  FORMCHECKBOX  Library/Media  FORMCHECKBOX  Social Studies  FORMCHECKBOX  Technology  FORMCHECKBOX  Gifted  FORMCHECKBOX  Other:  FORMTEXT   $%9:;Z a l  # < > Z \   ̹̮{ocoTEh ch &CJaJmHsHh ch cCJaJmHsHhsCJaJmHsHh cCJaJmHsHhshs5CJaJmHsHhXZh:5CJaJhXZh?CJaJhXZhkr5CJaJhXZhkrCJaJh FCJaJhXZhH}CJaJhXZh:CJaJhV hXZhuhXZhu5hXZh:5hXZh!5 h F5%:;= >   $  D R *":dhgd*Ogdu$a$gdkrgdsgd:$a$gd!'(  # * + 5 6   2 4 6 @ B d f z | ~ * , @ طɫؙɄrɄ`Ʉ#j\hXZhuCJUaJ#jhXZhuCJUaJ(jhXZhECJUaJmHnHu#jthXZhuCJUaJjh cCJUaJ#jhXZhuCJUaJjhXZhuCJUaJhXZhuCJaJhXZhu5CJaJhXZh &5CJaJmHsH#@ B D N P R &(F޾޾޾m[#j,hXZh$CJUaJ#jhXZh$CJUaJjhXZhh'CJUaJhXZhCJaJhXZhh'CJaJ#jDhXZhuCJUaJh/CJaJhXZhuCJaJ(jhXZhECJUaJmHnHujhXZhuCJUaJ#jhXZhuCJUaJ#@B^`b$&BDF|~ӯӝӋӀn\#jXhXZhi(CJUaJ#jhXZhi(CJUaJhXZh#CJaJ#jphXZhi(CJUaJ#jhXZhi(CJUaJ#jhXZhi(CJUaJ#jhXZhi(CJUaJhXZhh'CJaJjhXZhh'CJUaJ#jhXZhi(CJUaJ$<>Z\^z|~""">"@"\"^"`"b"ӶӤӒӀkikW#j hXZhi(CJUaJU(jhXZhECJUaJmHnHu#jhXZh$CJUaJ#j*hXZhi(CJUaJ#jhXZhi(CJUaJhXZh#CJaJ#j@hXZhi(CJUaJhXZhh'CJaJjhXZhh'CJUaJ#jhXZhi(CJUaJ!: "<""##$$%%D&F&H&&b''''''''''((dhgdXZgdudhgd*O    Grade Level(s) Impacted:  FORMCHECKBOX  Pre-K  FORMCHECKBOX  K  FORMCHECKBOX  1st  FORMCHECKBOX 2nd  FORMCHECKBOX 3rd  FORMCHECKBOX 4th  FORMCHECKBOX 5th  FORMCHECKBOX  Community Learning Center Please describe how you will (have) use(d) the PTO designated classroom field trip funds ($600 per grade):  FORMTEXT       Please describe how you will (have) use(d) the PTO designated classroom projects funds ($10 per student):  FORMTEXT       Any other relevant information:  FORMTEXT       LPTSO Record (To be filled out by LPTSO)  FORMCHECKBOX  Approved Date Approved:  FORMTEXT       Amount Funded: $ FORMTEXT        FORMCHECKBOX  Not Approved Reason:  FORMTEXT           Page  PAGE 1 b"p"r"""""""""""""""""""""#### #&#(#D#F#H#J#N#P#T#V#r#t#v#xf#j hXZhi(CJUaJ#jb hXZhi(CJUaJ#j hXZhi(CJUaJ#jv hXZhi(CJUaJhXZh$CJH*aJ#j hXZhi(CJUaJhaCJaJ#j hXZhi(CJUaJjhXZh$CJUaJhXZh$CJaJ(v#x#|#~#########$@$V$$$$$$$$$%$%,%@%R%%%%%%%%%޽tbt#j: hXZh4fCJUaJ(jhXZhCJUaJmHnHu#j hXZh4fCJUaJjhXZhCJUaJhXZhCJaJhX0bCJaJ#jN hXZhi(CJUaJjhXZh*OCJUaJhXZh*OCJaJhXZh$CJH*aJhXZh$CJaJ#%%&&2&4&6&@&B&D&F&H&b&&&&&&&&&'' '䵪{jVjjBj&jhXZhXZ5CJUaJ&j&hXZhXZ5CJUaJ jhXZhXZ5CJUaJhXZhXZ6CJaJhXZhXZ56CJaJhXZhXZ5CJaJhI5CJaJhXZh*OCJaJhXZh0+nCJaJ"jh0+nCJUaJmHnHu#j h0+nh0+nCJUaJjh0+nCJUaJh0+nCJaJhCJaJ ''':'<'P'R'T'^'`'b'd''''''''''''''''''''( (((((((̸̤̐̈ztzizeh4fh(S0JmHnHu hj(0Jjhj(0JUhj(jhj(U&jhXZhXZ5CJUaJ&jhXZhXZ5CJUaJ&jhXZhXZ5CJUaJhXZhXZ5CJaJ jhXZhXZ5CJUaJ+jhXZhXZ5CJUaJmHnHu&(((dhgdXZ6&P1h:p#/ =!`"`#`$`% tDText1tDText2tDText3tDText4tDText6tDText5tDText7tDText8tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck6tDeCheck7tDeCheck8tDeCheck9vDeCheck10vDeCheck11tDText9vDeCheck12vDeCheck13vDeCheck14vDeCheck15vDeCheck16vDeCheck17vDeCheck18vDeCheck19vDText10vDText11vDText13vDeCheck20vDText12vDText10vDeCheck21vDText11@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No List6U@6 kr Hyperlink >*B*ph4@4 #Header  !4 @4 #Footer  !.)@!. # Page NumberD 4  zD %:;=>$>Y}~LH<U%&$%YZ[/ E ))))v:)v:)v:)v:)v:)v:)v:)W)W)W)v:)v:)W)W)W)W)W)W)W)W)W)W)W)W)W)W)W)W)W)W)W)W)W)v:)W)W)W)W)%:;=>$>Y}~LH<U%&$%YZ[# % & ( ) + , . / A E 000000000000000000000000000000000000000@00x00x000000LM=>E H0HH0H0J0 " @ b"v#% '( :(( ( *6<EQWiu{ 8DJ1AIYv(4:Vfo "EQW  ! 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