Fillable BUDGET REQUEST F ORM I. Requestor Information II. (Los Medanos College)

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BUDGET REQUEST F ORM I. Requestor Information II. (Los Medanos College)

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The BUDGET REQUEST F ORM I. Requestor Information II. (Los Medanos College) form is 3 pages long and contains:

  • 4 signatures
  • 20 check-boxes
  • 33 other fields

Country of origin: US
File type: PDF

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BUDGET REQUEST F
ORM
BRF-201
8 Version 1.0 Page 1 of 3
I. Requestor Information
Requestor Name
Date Submitted
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Requestor Email
Department/Program Name
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II. General Information
Request Title
Strategic Plan Objective - Reference #
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Request Description
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III. Personnel Resource Need (For FT Faculty Requests, Refer to Box 2A Process)
Position Name/Title
Classification
FTE
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here to
enter
text.
Position Type
Funding Duration
Funding Source
Facul ty R/T
Classified
Manager
Student
On-going/Permanent
One-ti me
Operations (Fund 11)
Other
Salary (Step 1)
Benefits
Total
Justification:
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BUDGET REQUEST FO
RM
BRF-2018
Version 1.0 Page 2 of 3
IV. Operating Resource Need (Equipment, Services, Non-Personnel)
Resource Type
Equipment
IT Hardware/Software
Servi ce/Contra ct
Supplies
Facility Improvement
Other
General Description
Est. Expense
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text.
Justification:
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V. Professional Development Resource Need
Resource Type
Conference/Meeti ng
Materials/Supplies
Online Learning
IT Hardware/Software
Consultant/Trainer
Other
General Description
Est. Expense
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text.
Justification
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B
UDGET REQUEST FORM
B
RF-2018 Version 1.0 Page 3 of 3
VI. Request Approval
Signatures
Requestor Signature DATE
Department/Program Chair or Manager DATE
Department/Program Dean or Vice President DATE
VP, Business & Administrative Services DATE
VII. For Business Services Use Only
Request Approved/Denied
Modifications
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Date Request Approved
Request Extensions
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Funding Source
Date Approved
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GL #
Approved By
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BUDGET REQUEST F ORM I. Requestor Information II. (Los Medanos College)

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Completed 2 February 2021

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