Donation to ASB
Name of School:	
Name of Club:	
Donation to ASB
Fiscal Year: _______________
Name of Donor:										
Street Address:											
City, State & ZIP:										
Telephone:					
Description of the donation: (If cash or check, show the exact amount; if other than cash or check, include a detailed description of each item, including serial number, color, etc.) 
Donor’s estimate of value:					
Purpose of the donation (ASB organization, school site, or district program): 
If the donation is for a club or organization that is part of a school’s ASB, indicate the name of the club or organization and deposit the cash or check into the ASB bank account. Retain this form as a record of the donation. 
If the donation is for the district, either for the use of the school or for another district program, forward the cash, check, or other item to the district business office with this form. Explain below whether the donation is for the school site or a specific district program. 

													
Report prepared by:										
Signature, Title and Date
Verified by ASB bookkeeper:										
	Signature, Title and Date
Donor:											
Signature, Title and Date
Submitted and Approved by: 
	Student Club Representative:										
		Signature, Title and Date  
	Club Advisor:										
Signature, Title and Date
	Principal/School Administrator: 										
		Signature, Title and Date

Recorded in ASB Student Council Minutes on:				
		Date