Illinois Program Director Reimbursement

Midwest PD Reimbursement/Request Application

This application can be used for:

Personal PD reimbursements (ex. parking for OneGoal events)
PD Quality Enrollment Incentive Funds (PD requesting reimbursement or request OneGoal to make the purchase)
Bus Requests (PD requesting reimbursement or request OneGoal to make the purchase)

Notes for Notes for PD Quality Incentive Funds for Fellows:

As a reminder you can use your Quality Enrollment Incentive funds to incentivize Quality Enrollment goals/completion. Some examples include gift cards, food requests, or other ideas you may have..
Each PD gets $50 to use towards each cohort. If the request is over $50, you will need approval from OneGoal before we can move forward with your request.

Note for Bus Requests:

Check payments are NOT recommended and a 6 week notice is needed.
Bus companies that accept ACH payments are HIGHLY recommended - a 2 week notice is needed. Please use a vendor from our list below:

We recommend booking a bus with:

Latino Express 773-254-5545 latinoexpress@ameritech.net 3230 W. 38th Street, Chicago, IL 60632-2705

Sunrise Transportation 773-224-8050 ar@sunrisebus.com 8500 S. Vincennes, Chicago, IL 60620

BJs Transportation 708-907-5435 info@bjstrans.com 3005 W 87th St, Evergreen Park, IL 60805

Timeline for Requests:

Our finance team needs at least 6 weeks notice if paying with a check. We do NOT recommend this. Once it is in the mail, we do not have control over how quickly the check gets to the vendor or yourself.
Our finance team distributes ACH payments (direct deposit) every week. It takes 2-3 days to show up in your bank account. We DO recommend this. To verify your ACH information, expect a call from our AP department. Kelly will let you know when to expect payment/reimbursement via email.

After you submit this application: You can expect to hear from a OneGoal staff member in 3-5 business days about the status of your request.

PD First Name

PD Last Name

PD Preferred Email

PD Phone Number

High School Name

Number of Cohort/Class Periods Requesting For

Some but not all of our PDs teach more than one section of OneGoal per year and that is why we ask this question.

PD Program Year/Years Requesting For

Y1Y2Y3Select all that apply

Would you prefer to...

Make the purchase yourself and get reimbursed by OneGoalHave OneGoal directly make the purchase Note: The request must be approved by OneGoal if over $50 in order to reimburse purchases.

Does OneGoal already have your ACH (direct deposit) form?

YesNo, I have not filled one outI am not sureIf you are not sure, Liliana will check and email you the form if it is needed.

Please download this ACH form (direct deposit), complete it, and then submit it here.

My purchase will be for...

Reminder: if you want OneGoal to make the purchase, it has to be $50 or under per cohort. If it is more than the budgeted amount, you will need approval from OneGoal. Other (Personal PD Reimbursement) Example: parking for OneGoal event

Is your request over $50?

NoYes, it is over $50

Is this your first request?

YesNo I have submitted other requests through this application

Please click here to make a forced copy of a google sheet. Fill it out and download as an excel file and save it as "Your First Name. Last Name. Date" and submit it here.

If this is not your first request, you will need to wait to be approved.

You will need to get approved by OneGoal before we can reimburse you. Please, in detail, write out what you purchased, the total amount spent, and the purpose behind it. You will hear back in 3-5 business days if it is approved for reimbursement.

Please upload the full receipt/invoice and make sure it is clear. Reminder: You need OneGoal approval for purchases or reimbursements over $50.

If you have an invoice from a restaurant to be paid out, please attach it here and type N/A in the boxes below

When do you need this request fulfilled by?

Please give us at least 5 business days.

How do you think this will impact the fellows you serve in planning or preparing for their postsecondary plan?

What is the restaurant's name, website, and contact number?

Check out this resource that lists local/POC-owned restaurants/catering.

What food are you wanting to purchase for fellows? Please add all helpful information such as : list of items, amount of each item, total amount, delivery address, etc.

Will this be for pickup or delivery?

Pick UpDelivery

Delivery/Pick Up Location

Delivery/Pick Up Time

Who is the contact person for the delivery?

This must be one of the people running the event.

What is the contact person's phone number?

What are you wanting to purchase for fellows? Please add all helpful information such as : list of items, link to website, amount of each item, total amount, delivery address, etc.

What did you purchase that you need reimbursed?

What was the purpose of your purchase?

What was the total amount of your purchase that you need reimbursed?

What was the date of purchase

Please upload the invoice for the trip here.

As a reminder, OneGoal HIGHLY recommends that you choose a bus company that we have in our system that accepts ACH. ACH payments are automated and timelier. We need at least 2 weeks notice. We strongly advise AGAINST check payments as it is not as timely and would need at least 6 weeks notice. We recommend booking a bus with: Latino Express, Sunrise Transportation, or BJs Transportation