<p> Fund Raiser Clearance Form FY 2015-16 Step 1* Who? Name of Club, Group, Team, Etc. Sponsoring the Activity ______Name of the Faculty Advisor, Sponsors or Coaches ______Signatures of the Faculty Advisor, Sponsor or coach ______Please indicate which group specifically will be fund raising so the student store can place the money in the appropriate trust. ______</p><p>Step 2 * Why? How will funds be used? ______</p><p>Step 3 * What? Where? Activity Being Planned: ______Brief Description::______Location of Activity: ______</p><p>Identify dates & times for activity: ______Activity Approval: ______Principal: ______Mr. Rolf Janssen Mr. Rafael L. Balderas</p><p>Student Store: ______Mrs. Ma. Cristina Balderas ______Step 4* CLEARANCE (FROM ALL IMPACTED DEPARTMENTS AND/OR OFFICES) a) Signature of the respective department and/or office supervisors are required and must be obtained before the activity is officially approved. b) If a department and/or office is not impacted by the activity write ”N/A” on the blank. Obtain each of the following signatures as needed: Audio: Lighting & Cafeteria/ A/V Equipment ______Food Services ______Mrs. Whitney Mr. Catherill Athletics Title One Facilities: ______Resources ______P.E. Department Chair Mrs. Meneses</p><p>Custodial: ______Leadership ______Plant Manager Ms. Kimura/ Mr. Moreno ______Step 5* FINAL APPROVAL Return completed form to Dr. McGee in the APO to officially schedule activity on calendar and to ensure that this activity is not conflicting with any other activity. Approved: ______Dr. Adrian Magee The following section describes how revenues generated are shared with the student body account. A complete description of fundraising rules and guidelines is provided in Publication 465 Student Body Policies and Accounting Procedures - Secondary Schools. http://cafe-la.lausd.net/sites/default/files/PUBLICATION_465.pdf Revenues generated through these activities belong to the club/class. However, if the club/class fundraiser is an “on-campus” activity during school hours, then no more than 50% of the profits can be credited to the club/class trust account, (Board Rule 2528) and the remainder must be credited to the general student body account. If the club/class fundraiser was approved as an “off-campus” activity, but members openly carry merchandise during the instructional day, it will be assumed that members are selling “on-campus” and the profits must be divided equally between the club/class trust account and the general student body account.</p><p>All funds collected are to be stored in a Trust Account. Please see Publication 465, page 29, for a description of a trust account. It is advisable that teachers do not hold funds collected in their own personal account.</p><p>Revised 1/11/16 Leadership</p>