MCPSEF Account MOU Request

MCPSEF Account MOU Request

Requestor*

MCPS Educational Foundation is asked to open an operating account by:

Date of Request*

Account Name*

The name of the account should match what the account will be publicly referred as

Account Description*

What is the purpose of this account fund? What program, services, and expenses will the account cover?

Account Point of Contact Name*

The following person(s) will receive account reports and have primary disbursement authority (i.e. has to approve release/use of funds from the account)

Account Point of Contact Mailing Address

Account Point of Contact Email*

Account Point of Contact Phone Number*

Phone

Additional disbursement authority?*

Yes

Unknown

Disbursement Authority #1 Name

Disbursement Authority #1 Email

Disbursement Authority #1 Phone Number

Phone

Disbursement Authority #2 Name

Disbursement Authority #2 Email

Disbursement Authority #2 Phone Number

Phone

Account Term (if applicable)

Length of time for account (Dates)

Initial Gift (if applicable)

(Optional) Anticipated Donors

Special Instructions*

If generally unrestricted, write "Unrestricted" in text field.

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