Children's Special Fund Request Instructions
This form contains 33 fields organized into 13 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Approving Administrator's Printed Name and Title | ||
| Approving Administrator's Printed Name and Title | Text |
Enter the printed name and title of the approving administrator.
|
| Approving Supervisor's Printed Name | ||
| Approving Supervisor's Printed Name | Text |
Enter the printed name of the approving supervisor.
|
| Check Mailing Address | ||
| Mailing Name and Address | Text |
Please provide the full name and address where the check should be mailed.
|
| Event Details | ||
| Number of Volunteers | Number |
Enter the total number of volunteers participating in the event or activity.
|
| Event Date and Time | Text |
Provide the date and time when the event or activity will take place.
|
| Event Location | Text |
Specify the physical location where the event or activity will be held.
|
| Event Phone Number | Text |
Enter a contact phone number for the event or activity.
|
| General | ||
| Text18 | Text | |
| Text19 | Text | |
| Text20 | Text | |
| Text21 | Text | |
| Participant Information | ||
| Participant Information Details | Text |
Provide a detailed list of the children and families served by this event/activity, including the child's name, CYCIS ID#, and the criteria for their selection.
|
| Payment Details | ||
| Check Payable To | Text |
Please provide the name of the entity or individual to whom the check should be made payable.
|
| Amount Requested | Number |
Please provide the total monetary amount being requested.
|
| Reason for Request | ||
| Entertainment | Checkbox |
Check this box if the reason for the request is for entertainment purposes.
|
| Gifts | Checkbox |
Check this box if the reason for the request is for gifts.
|
| Space Rental | Checkbox |
Check this box if the reason for the request is for space rental.
|
| Food | Checkbox |
Check this box if the reason for the request is for food.
|
| Cost Per Person for Food | Number |
Enter the cost per person if food is being requested. Fill only if 'Food' is 'Yes'.
Depends on:
Food
|
| Vital Records (Birth Certificate) | Checkbox |
Check this box if the reason for the request is for vital records, such as a birth certificate.
|
| Other | Checkbox |
Check this box if the reason for the request falls into a category not listed above and requires specification.
|
| Other Reason for Request | Text |
Provide a detailed description of the other reason for the fund request. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Request Objective | ||
| Request Objective | Text |
Please provide a brief description of the event, activity, or reason for this request.
|
| Special Instructions | ||
| Special Instructions | Text |
Please provide any special instructions related to this request.
|
| Sponsor Address | ||
| Address | Text |
Please enter the street address of the sponsoring agency or organization.
|
| City | Text |
Please enter the city of the sponsoring agency or organization.
|
| State | Text |
Please enter the state of the sponsoring agency or organization.
|
| Zip Code | Text |
Please enter the zip code of the sponsoring agency or organization.
|
| Sponsor Information | ||
| Sponsoring Agency/Organization | Text |
Please provide the full name of the sponsoring agency or organization.
|
| Contact Person | Text |
Please provide the name of the contact person for the sponsoring agency or organization.
|
| Sponsor Phone Numbers | ||
| Work Phone Number | Text |
Please enter the work phone number for the sponsor.
|
| Home Phone Number | Text |
Please enter the home phone number for the sponsor.
|
| Fax Number | Text |
Please enter the fax number for the sponsor.
|