STIPEND PAYMENT REQUEST FORM PREAPPROVAL - Revised.xlsm

	A	B	C	D	E	F	G	I	J	K	M
1							For Parker Center Financial O.A.A. Use Only
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3							Funds are available in this category.			YES	NO
4	PARKER CENTER
5	STIPEND PAYMENT REQUEST FORM
6	PREAPPROVAL						BUDGET UNIT		ACCT
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8	Request must be received at least 2 WEEKS PRIOR to the beginning date.
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11	FUNDING SOURCE:
12	FEDERAL GRANTS		STATE FUNDING		PRE-K FUNDING		DISTRICT FUNDING	OTHER FUNDING
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18	LOCATION:			DATE:			REQUESTED BY:
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20		PRINCIPAL SIGNATURE / DATE:
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24	REQUEST EXPLANATION:
25	Mentors of Interns
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31	START DATE:					END DATE:
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33	Time Reports are due to Parker Center within 3 working days of the event.
34	All Stipend Payment Requests must be received by Parker Center no later than February 1st for the current fiscal year.
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36	PAY TYPE:				ESTIMATED BENEFITS PER UNIT (25%):
37					TOTAL ESTIMATED RATE PER UNIT:
38	PAY RATE:				NUMBER OF UNITS TO BE PAID:
39					ESTIMATED TOTAL COST:				$0.00
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41					COMMENTS / FOCUS AREA & JUSTIFICATION:
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49			DIRECTOR OF FEDERAL PROGRAMS & STRATEGIC INITIATIVES / DATE
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52			ASSISTANT SUPERINTENDENT OF CURRICULUM & INSTRUCTION / DATE
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55			ASSISTANT SUPERINTENDENT OF HUMAN RESOURCES & CAMPUS SUPPORT / DATE
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