if necessary, organizations must comply
with state of CT Division of Special Revenue regulations for operation of raffles and bazaars.
Fundraising Application Form
NHS Student Organization:_____________________________________________________________________
Name of Coach/Club Advisor:__________________________________________________________________
Signature of Coach/Club Advisor:________________________________________________________________
Adult Supervising Project:______________________________________________________________________
Contact Phone:______________________________ Contact
Email:____________________________________
Date of Fundraising
Project: (Begin) ______/______/______ (End) ______/______/______
Account Name and Number for Deposit:___________________________________________________________
Location(s) of Project:________________________________________________________________________
Summary of Project:
__________________________________________________________________________
__________________________________________________________________________________________
Funds allocated
to begin project: $________________________
Total Dollar amount raised at completed date of project:
$____________________
Below portion to be completed by office administrator
Approved_____
Denied______
Comments_____
Date:_____/_____/_____
Signature:________________________________
Note:
Fundraiser may not proceed until approved by NHS Administration.