CMS PSO Supply Request Form
Please complete this form by the 15th of the month for consideration of Supply Request Funds from CMS PSO for the upcoming month.
Date *
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DD
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YYYY
Time
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Grade/Team *
Teacher's First Name *
Your answer
Teacher's Last Name *
Your answer
Teacher's Email Address *
Your answer
Number of students impacted *
Your answer
Amount of your request *
This request will be used for: *
Select one of the following categories:
Please detail how this request will be used/what is its purpose. *
Your answer
Date needed by *
MM
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DD
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YYYY
List at least 2 suppliers/retailers the items for this request be purchased. *
Your answer
Requests are considered by the CMS PSO Board on a monthly basis. Teacher will be notified directly of approval or denial by the first of each month (or the first school day). Approved requests may be fulfilled via gift card or check. Receipts/purchase documentation must be submitted to Kimberly Jansa within 2 weeks. Please list any additional comments or questions below.
Your answer
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