Facility Services/Finance 07/01/2018
The following organization is requesting to obtain the approved status as an Authorized Support Organization for
the 2018-2019 school year. Complete the information on this form and attach all necessary or additional
documentation (i.e. association bylaws and rules, articles of incorporation, operating principles, etc.). Once
complete, submit the application to the site principal or administrator for review.
Date
Organization
Organization Address
School _______________________________________________________________________
Contact Person
Phone Email
General Information:
• Authorized Support Organizations must comply with district policy KBE/KJA – Support Organizations and FS-
305 – Authorized Support Organizations Guidelines.
• Facility use for Authorized Support Organizations will be scheduled in accordance with district policy KF –
Use of District Facilities and associated administrative guidelines. All requests for use of district facilities must
be submitted and coordinated through the Customer Support Center at 490-3333 or csc@psdschools.org.
Description of Organization, Activities, and Benefit to School and/or Program:
Financial Considerations (select one):
____ A. The Authorized Support Organization will hold, maintain, and administer funds in the organization’s name
in an account established with a depository institution.
____ B. The Authorized Support Organization will NOT hold, maintain, and administer funds; all funds will be
donated to the district. Although an organization may advise the district regarding the use of donated funds, the
district ultimately decides how the funds are used.
I confirm that the Support Organization is aware of and will comply with district policy KBE/KJA, district policy KF,
and all associated guidelines.
Organization Officer Date
