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Hillsdale Coaches Funding Request/Reimbursement Form
This is to be submitted by Coach or Advisor only.
For reimbursement - if you have money in your sport specific account, you do not need to fill out ahead of time. Please complete and turn in all receipts once your form is completed.
* Indicates required question
Email
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Record my email address with my response
1. Date of Request
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MM
/
DD
/
YYYY
2. Sport/Program Represented
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Your answer
3. Coach/Advisor Name
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Your answer
4. Request Details -
Amount Requested
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Your answer
5. Request Details - Funding Source Requested
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School Funded
Booster General Fund
Sport-Specific Booster Fund
6. If listed Sport-Specific Fund on #5, which fund?
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Your answer
7. Request Details - Category of Request
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Equipment
Team Clothing (Practice Shirt, Volley for the Cure, Kick Cancer, WCAL Champs)
Coaches Clothing
Team Uniforms
Scrimmage Food
Team Meal (Postseason)
Other
8. If listed other on #7, please explain.
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Your answer
9. Request Details - Please add a description of the request.
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Your answer
10. Request Details - What is the Purpose and Benefit for Student-Athletes/Program?
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Your answer
11. Have other funding sources been explored?
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Yes
No
12. If answered yes on #11, please explain.
Your answer
13. Request Details - What is the Date Needed?
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MM
/
DD
/
YYYY
14. I verify that this request supports the needs of my program and the Hillsdale Community. Please sign your name.
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Your answer
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