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Budget Expanision Request Form

By Tiffany Nichols,2014-12-13 09:38
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Budget Expanision Request Form

    LAKESUMTER COMMUNITY COLLEGE

    FY1011 BUDGET EXPANSION REQUEST FORM

    (Submit one form per REQUEST)

    COST TO CONTINUE NEW REQUEST Department (ORG)Name: ORG Number (Department):

CHECK Reason for Request: New Mandate New Initiative Instructional/Non Instructional Review

    Division Request Committee Request Other_________________ Describe Other reason for request:

    What College (Annual Plan), division and/or budget priority does this request address?

Description of new activity or service:

New Revenue: (If Applicable)

    Source of Revenue Amount

     $

     $

    $ Total New Revenues

    Personnel Requests: HR Director Approval Required (Call x3680 HR Tim Kane for help) Expense Acct # Description Amount w/benefits

     $

     $

     $

     $

     Total Personnel Expense $

    Current Expense Requests: (Give examples of type and quantity)

    Expense Acct # Description Amount

     $

     $

     $

     $

     $

     $

     Total Current Expense $

    Capital (Equipment) Requests: (Computer, printer, desk, phone, etc.)(Call x3542 IT - Doug Guiler for help) Expense Acct # Description Amount

     $

     $

     $

     $

     Total Capital Expense $

    1 of 2

    Renovation/Remodeling Requests: (Call x3532 Facilities - Don Ball for help)

Additional Resources Needed:

    Justification for Requests: (Describe alternative solutions that were considered)

    : (Personnel Requests Only) Date: HR Exec Dir (Tim Kane) Signature

    Requesting Budget Manager:(Print Name) Date: VP Signature: Date:

    Included in original budget request (BRW’s): YES NO

    11/30/2009 12:15 PM 2

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