Coach Welker Wellness Center Payroll Deduction
We are excited to see Jeff’s vision for a Wellness Center come to fruition. We want everyone to
have an opportunity to be a part of this project and honor Jeff’s legacy.
The contributions are not tax sheltered through payroll, but you can claim the contribution as a
charitable donation on your federal tax return. Contributions in any of the amounts below can
be paid over one or two years.
Please fill in the form below and return it to Fonda Starbuck in the Superintendent’s Office by
May 1, 2020 if you would like to contribute. Your support for this project is greatly appreciated!
- Accident Report.doc
- Activity Fund Voucher
- Approval of Credit.doc
- AUP 6-235 AP1
- Collaboration Referral Form
- Expense Report
- Facilities Request.doc
- Fund Raiser Request Form
- Fundraising Request FormThis form must be completed and submitted to the Building Principal if proposed activity is associated with a particular building. If the activity impacts the district, it must be submitted to the Superintendent. No commitments or plans are to be made prior to approval.
- Physical Restraint and Time Out FormA written record of each event involving a time out or physical restraint must be maintained in the student’s temporary record. Public school districts, private special education schools, special education cooperatives, charter schools, regional safe school programs, and any other educational program serving Illinois public school students must complete this form in its entirety.
- Referral Form
- Request to Attend 21-22
- Services & Fees
- Transportation Request