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S&A FEE BUDGET REQUEST FORM
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Program NameStudent Leadership
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Acc Dir NameKirk Heynen, CSEL DIrector
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Chartstring522-264-52300-81400
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Date1-23-26
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This form is just a Template. For an empty
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copy, please click hereNOTE
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EXPENSES
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ACCOUNT CODEDESCRIPTION OF EXPSENSEAMOUNT
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5000130Student Staff Payroll
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Assistants/Programmers Common Training
[4 Staff x 3 Weeks x 32 Hours x $16.28]
$6,252.00
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Fall Quarter: Assistants/Programmers
[4 Staff x 12 Weeks x 15 Hours x $16.28]
$11,722.00
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Winter Quarter: Assistants/Programmers
[4 Staff x 12 Weeks x 15 Hours x $16.28]
$11,722.00
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Winter Quarter: Assistants/Programmers
[4 Staff x 12 Weeks x 15 Hours x $16.28]
$11,722.00
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5030010Supplies & Materials
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Supplies for student leader training activities$300.00
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5010010Student Staff Benefits
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Assistants/Programmers Common Training$313.00
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Fall Quarter: Assistants/Programmers$586.00
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Winter Quarter: Assistants/Programmers$586.00
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Spring Quarter: Assistants/Programmers$586.00
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TOTAL :$43,789.00
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- If this Account generates revenue, please provide a description -
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REVENUE
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ACCOUNT CODEDESCRIPTION OF REVENUEAMOUNT
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TOTAL$0.00
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__________________________________________________
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Account Director Signature
Date
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_______________________________________________________
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Account Director's Supervisor Signature
Date
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