School Name ____________________________________________________
Person completing this form _________________________________________
Date of Event ____________________________________________________
Please describe activity to take place:
Number of students to be transported __________
Transportation Cost $_____________
CCP OFFICE: Amount eligible to be reimbursed $ ____________
This request must be received by the College Career Pathways Office prior to the
date of the activity. Please also submit any supporting materials that will help
explain how the activity will benefit CCP students and/or expenses.
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 submit as far in advance as possible.