Student Grants Reimbursement Form
Shrewsbury High School Alumni Association
www.shrewsburyalumni.org
5 Industrial Drive, Shrewsbury, MA  01545

Reimbursement Form For Student Grant Funds
Submit your receipts and this form by 2pm - April 26, 2012

Project name:
 * required
Dollar Amt Of Funds Awarded:
 * required
Advisor's Name:
 * required
Make Check Payable To:
Mailing Address:
Required
Advisor's Email Address:
 * required
Advisor's Cell Phone:
Total $$ Requested 
(As Supported by Receipts):
 * required
Comment:
Date Submitted:

Submit this completed form with your receipt(s) to:

Judith L. Donahue, SHSAA Treasurer
5 Industrial Drive, Shrewsbury, MA 01545
jldonahue@townisp.com

Your check MUST be cashed immediately!!

If you have any questions,
contact Sandra (Sandie) J. Lucas, Alumni Grants Chairperson, 
at  sjlucas@townisp.com