West School PTC Funding Special Request 
The West PTC is pleased to support the West faculty to fulfill special requests for supplies, software,  materials, etc., that falls outside the standard grant allocations. Please use this form to make your request, keeping in mind that all requests are subject to administrative approval. Thank you for all you do for our kids!
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Email *
Name / Grade / Department *
What would you like to order?
Description, include photo and link if available
*
Approximate Cost *
How will the item(s) be used?
*
Approximate number of students who will use item(s)?
Is your request technology related?
Clear selection
Has this proposal been discussed with and endorsed by your curriculum coordinator?
Clear selection
Please put the date of discussion/approval (approximate).
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/
DD
/
YYYY
Additional Comments
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