Request for Financial Support for WIHI Student Opportunity
CONFIDENTIAL submission to WIHI administrative staff.
What is the student's name? *
Your answer
Who is filling out this form? *
Enter your name
Your answer
What is the activity? *
Enter full name of the activity requiring financial support (e.g. International Dinner, Cedar Point trip, Auto Enrichment, Yearbook fee, technology contribution)
Your answer
What is the total cost of the activity? *
The donors will share funds as available for approved requests.
Your answer
When is the money needed by? *
MM
/
DD
/
YYYY
Who should the check be made out to? *
Your answer
What are the circumstances surrounding this request?
Please provide a brief explanation of why this support is needed
Your answer
Submit
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