1. Student Activity Funds Agreement Student Activity Account ________________________________ School _______________________________________________ Purpose _______________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________ I acknowledge that I have received a copy of Whitewater Unified School District’s Policy 662 and Rule 662.1 Student Activity Funds Management Guideline. I have read, understand, and agree to adhere to the Whitewater Unified School District’s policy and rule regarding student activity funds management. I understand that misappropriation of District funds, including student activity funds, may lead to termination of District employment, restitution of misappropriated funds, and possible criminal prosecution. If I suspect misappropriation of the funds, I will immediately communicate to the Faculty Advisor, School Principal, Director of Business and Auxiliary Services, or the District Administrator. _________________________________________________________ School Principal SignatureDate _________________________________________________________ Faculty Advisor SignatureDate _________________________________________________________ Student Representative SignatureDate This acknowledgement is to be submitted to the Director of Business and Auxiliary Services with an annual budget statement by September 30. Whitewater Unified School District Annual Student Activity Purpose and Budget Statement Fiscal Year____________ Student Activity Account ___________________________ School ____________ Faculty Advisor ___________________________________ Student Officers _____________________________________________________________________ _____________________________________________________________________ Purpose ___________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________ BEGINNING BALANCE$_________ Anticipated Revenue from: Dues$__________ Fundraising Activities (describe) ___________________________________$__________ ___________________________________$__________ Other Revenue (describe) ___________________________________$__________ ___________________________________$__________ B.TOTAL REVENUE$_________ Anticipated Expenses (describe) ___________________________________$__________ ___________________________________$__________ ___________________________________$__________ ___________________________________$__________ C.TOTAL EXPENSES$_________ D.ANTICIPATED ENDING BALANCE (A+B-C)$_________ Return a copy of this form to by September 30 to the Director of Business and Auxiliary Services and the School Principal.