Panola College
Application for College Cellular Phone Utilization and Reimbursement
Briefly explain how the applicant meets the requirements of the College policy:
fund-department-site-object
Budget Source for Applicant's Request:
Monthly Annual
Amount of Annual Allowance Requested:
Finance Approval of Funding:
President's Approval:
After funding approval, this form needs to be sent to Human Resources for processing.
Vice President over applicant:
VP's Signature of Approval of Request:
The applicant agrees to adhere to the College policy regarding Cellular Phone Utilization and
Reimbursement and has met the qualifications per said policy to receive this allowance/usage.
Applicant's Name:
Applicant's Cell Phone Number:
Applicant's Signature of Agreement to Terms:
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signature
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click to sign
signature
click to edit
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click to sign
signature
click to edit
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click to sign
signature
click to edit
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