CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS
NEW TRUST FUND
AGREEMENT FORM
REVISED JANUARY 2015
AUTHORIZED SIGNATURES FOR DISBURSEMENT
DESCRIPTION
PRINTED NAME
SIGNATURE
DATE
Project Coordinator
Budget Officer
AVP
VP of Division
By checking this box, the above noted signatories certify they have read and agree to all financial requirements for this trust fund agreement. They
confirm that any expenditure activity authorized by the authorized signer(s) noted above will conform to California State University Channel
Islands and CSU Trustee policy, specifically Trust Fund Projects, and follow sound budgetary and fiscal practices.
TRUST BUDGET - CURRENT FISCAL YEAR
SOURCES OF FUNDS (Revenue)
(if applicable, current fee level $
)
Project Beginning Balance
Revenue from Students
Revenue from Outside entities
Other (Please Specify)
Amounts ($)
TOTAL PROJECTED SOURCES OF FUNDS
(include Projected Beginning Fund Balance)
USE OF FUNDS (Expense)
Personal Services
Operating Expense and Equipment
Travel
Financial Services Fee
Other (Please Specify)
TOTAL PROJECTED USES OF FUNDS
PROJECTED FUND BALANCE AT FISCAL YEAR END
DIVISION OF BUDGET & FINANCIAL AFFAIRS USE ONLY
NO CHANGES CAN BE MADE TO INFORMATION. CONTACT BUDGET & PLANNING FOR CHANGES.
APPROVAL SIGNATURES
Controller
Associate Vice President,
Financial Services
Date Received Effective Date
ADMIN FEE %
