Form - Student Request for PI Funds

Student Request for PI Funds

This form has been provided for the purpose of requesting funds from your PI Account.
Please complete this form to ensure your request can be addressed as quickly and efficiently as possible. Thank you.

Name*
First Last
Amount of Money Requested*
All requests over $100 require parent/guardian's approval sent via email to dgehring@knoxschool.org
What Denominations would you like the Money in?*
- $1.00
- $5.00
- $10.00
- $20.00
- $50.00
- $100.00
Knox Email Address*

**YOU MUST USE YOUR KNOX SCHOOL EMAIL ADDRESS. **Failing to do so will require you to resubmit this request with your Knox School Address.
Consent: Read Below*
I agree to the privacy policy.
By Checking this Box you understand that Requests submitted AFTER 5:00 pm Wednesday will be completed on the following week.