Fillable Form 430010: CTE Supplemental Funding Request Form 2021-22 (Los Angeles Unified School District)

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Form 430010: CTE Supplemental Funding Request Form 2021-22 (Los Angeles Unified School District)

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CTE Supplemental Funding Request Form 2021-22
(Funding Source 2)
(Eligible CTE Teacher must teach 50% of bell schedule in CTE approved courses)
School Name:
Name of CTE
Teacher:
Cost Center:
Industry
Sector:
Pathway:
GL Acct Total Requested Cost
430010
Vendor Name
Quotes from LAUSD registered vendors
required at this time for this category
$ -
Date
Date
CTE Teacher Signature
Principal Signature Principal Name
Grand Total Amount Requested
Including taxes and shipping (not to exceed $5,000)
The approved instructional materials may NOT be substituted. Keep all documentation for audit review in your CTE binder.
Provide the accurate 7 digit cost center number
where the CTE program is located.
Category
INSTRUCTIONAL MATERIALS
Pathway Specific Instructional Materials (< $500 per item)
(Ex. Digital textbooks, supplemental textbooks, curriculum material)
Single item cost (including tax and shipping) cannot exceed $500.
Do not include certification requests here (software & vouchers)
Signed Source 2 Funding Request Form and supporting quotes due to your Advisor via email by 5:00 p.m on Friday, September 24. Unsigned forms and requests
without quotes will not be reviewed.
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Form 430010: CTE Supplemental Funding Request Form 2021-22 (Los Angeles Unified School District)

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Completed 24 September 2021

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