Sunshine Fund Request Form - Surrey Teachers' Association

When a member qualifies for the Sunshine fund, the STA rep at the school completes this
form. Please complete all the important
information required.

STA Rep Name

First

Last

STA Rep Personal Email

Recipient's Name

First

Last

School

item Recipient's Name

Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date

Please select one of the following reason and the associated item request

Injury at work (hospital stay) – flowers/fruit/gift basket up to $50
Maternity/paternity – gift card up to $50
Illness of an active member (extended medical leave minimum 20 days or longer) – gift card up to $50
Death of an active member – up to $75 donation to charity (or gift)
Death of an active member’s spouse/child – up to $50 donation to charity (or gift)

Please select one of the following