Scribd
Upload
81 views

KSSA Check Request Template

Kamehameha Schools student activities check request form for an elementary school, middle school, or high school club. The form requests information about the payee, event description, amount, and expense type. It requires approval signatures from the club advisor, department head if over $1,000, and dean of student activities if over $5,000 to certify that the expense conforms to Kamehameha Schools policy.

Uploaded by

mrs_yamas
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
81 views

KSSA Check Request Template

Kamehameha Schools student activities check request form for an elementary school, middle school, or high school club. The form requests information about the payee, event description, amount, and expense type. It requires approval signatures from the club advisor, department head if over $1,000, and dean of student activities if over $5,000 to certify that the expense conforms to Kamehameha Schools policy.

Uploaded by

mrs_yamas
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 1

KAMEHAMEHA SCHOOLS

KAMEHAMEHA SCHOOLS STUDENT ACTIVITIES – KAPÄLAMA


CHECK REQUEST FORM

Date:      Account #:      Athletics Department


Elementary School, Rachel Lee
Name:      Middle School, Student Act Ctr
High School, Student Act Ctr
Club:

Check payable to:     


Address:      Payment
City, State, Zip:      Reimbursement

Event Description Amount Expense Type


(Senior Lü’au) (Food) (Events-meals)
(Car wash fundraiser) (Car wash supplies-soap, towels, buckets) (Fundraiser supplies)
                       
                       
                       
                       
                       
                       

*Payment made to other KS Student Activity Clubs will not generate a check; process will occur as an internal transaction.*
**All original invoices and receipts are attached.**
TOTAL      

Approved by:       ___________________            


(Advisor) Print Name Signature Date Phone/Email

Approved by:       ___________________            


(Department Head) Print Name Signature Date Phone/Email
***If amount is more than $1,000.00, second approval by Department Head required***

Approved by:
(Dean of Student Activities/Student Activities Coordinator) (Date)
****If amount is more than $5,000.00, approval by Student Activities Dean/Coordinator required****

By your signature, you are certifying that you have reviewed the transaction and related documentation and they conform to Kamehameha
Schools (KS) policy and that the transaction is within budget, free from known conflict of interest and in the best interest of KS.

For KSSA Office Use Only Expense Acct:


Date: Amount:

You might also like