School Name ____________________________________________________
Teacher Name ___________________________________________________
Date of Event ____________________________________________________
Name of College Career Pathway Activity ______________________________
Cost _____________
Principal / Director Signature _________________________________________
Please supply a copy of this to your principal. This request must be received by
the College Career Pathways Office prior to the date of the activity.
Please send form to: Erin Sullivan, College Career Pathways, 574 New London
Turnpike, Norwich, CT 06360 or FAX to 860-215-9914.
Late invoicing could prohibit the grant from reimbursing your system due to
grant funding dates. Please send as far in advance as possible.