Sendero_Purchase Request Form.xlsx

	A	B	C	D	E	F	G	H	I
1	SENDERO PREP PURCHASE REQUEST
2
3		#1: Download/Save:
4		Copy this template to your Google Drive or Computer
5		#2: Populate Highlighted Cells:
6		*VENDOR: Where will you make the purchase from?
7		*JUSTIFICATION: What are the items going to be utilized for?
8		ITEMS NEEDED BY (DATE): allow at least 2 weeks from date request is submitted for delivery
9		*EMAIL PO TO: (where should the completed PO be sent to for placing the order)
10		*IDENTIFY IF THIS IS A PATHWAY OR CORE PURCHASE + SELECT FROM DROP DOWNS
11		*DESCRIPTION: Items/Services requested, Quantity, Price & Link to Item						ADMIN USE ONLY:
12		#3: Submission Process:						Approval	Date
13		Step 1: Submit Request Form
14		Step 2: Initial Approval by Dr. Parker						VRP	9/1/2026
15		Step 3: Budget Approval by Priscilla						PC	9/1/2026
16		Step 4: Final Approval by Matt						MS	9/3/2026
17		Step 5: PO Created						MR	9/2/2026
18		Step 6: Order Placed by Office
19		Program lead continues with formal purchase request form and emails form to:
20		lori@senderoprep.com mirna@senderoprep.com v.ratliff-parker@senderoprep.com priscilla@senderoprep.com matt@senderoprep.com
21	VENDOR:	amazon.com					How is this purchase going to be utilized? (provide justification here)
22	NAME OF REQUESTOR:	Sid Robinson					This equipment will be crucial in allowing students to reveive hands on training in the medical pathway. Batteries will be used in the AED trainers.
23	ITEMS NEEDED BY: (Provide date)	9/15/26
24	ACTIVITY GROUP SPONSORING: (CTSO, ENLACE, Seniors)	n/a
25	EMAIL PO TO: (who needs a copy?)
26							Is this for a Pathway or Core Program of Study? (select from dropdown)
27		s.robinson@senderoprep.com					PATHWAY
28							Which Program of Study is this for? (select from dropdown)
29	Account Code: (Business Office ONLY)	11000.1000.56118.3000.567001.0000					MEDICAL
30
31	**Purchase Orders are processed the first week of the month for requests received prior to the 1st day of the month
32
33	General Description	Qty	Unit Price	Tax	Freight	Total	Insert Link Here (As Applicable)	Total Request
34	Thermometer	3.00	$ 19.99	$ -	$ -	$ 59.97	https://www.amazon.com/Digital-Infrared-Baby-Thermometer-Forehead/dp/B0824XNJSW/ref=sr_1_6?crid=3GGSH8AR1PQAE&dib=eyJ2IjoiMSJ9.0o405x2uyLMiZTlZTmcmM0eAoTbV9hkLljLZ1TOdRUus_Knn02IWa00seZBwLyRgwTH43R4kjrTdjteQibwetZrHcvTmH4k_8Be5elGyxOXxg36VA_dYBs61FO_Mmyd3wYFMTA0cdODOGWrv5bwbOXZXl_7HR_yIHDzciwKtRJ5VGUADR1CsUr448UxeMJM9Jsu9GpuHqKZRg56eT8LxRZ1iEt7RcaY4i5ShJdkkCZig14LAYmrR9bS_jAFGz9Z1a3lQfB0thInvHpwJSLcWibqET1ypTvl8lb011O4eEKg.LcjfVhWG8VVF_fiRn0rdPHKG30_QizcMymnlEG_ZDrs&dib_tag=se&keywords=thermometer&qid=1788135117&sprefix=thermometer%2Caps%2C252&sr=8-6&th=1	$ 59.97
35	Pulsoximeter	3.00	$ 6.99	$ -	$ -	$ 20.97	https://www.amazon.com/gp/product/B0H73XVG97/ref=ox_sc_act_title_1?smid=A1VNXC5PIUJCQ4&psc=1	$ 20.97
36	C batteries - 12 pack	1.00	$ 24.99	$ -	$ -	$ 24.99	https://www.amazon.com/Energizer-Batteries-Long-Lasting-Alkaline-Power/dp/B09RTVZGXV/ref=sr_1_1_sspa?crid=2TAIU7SBB34UN&dib=eyJ2IjoiMSJ9.qWBdRY82BGsqZpWTPUiFMKiv3NRQyEFtPmCywpAIgzQyKHK6JurFyjEdbDw3X13M1cUHR8jwJwiR98ZGr9AMUbJgSOjZii0NeSD9uL_lNkhXDAbcNd8TnatE3_TbljVscLR1Hl1MwUiHBJQ_OtR1Wv4myXT8gGzb9bWuW2M2q07jYBFjQUFBau2G7Wety6ffTVGJ6-FVonPJQXxkA4-QpeV3D01RRZM-wYWqkFMHHFdQ6_SpRzjQL3Ir_D7wbPDkDVBK3sEtusqKGveEYjjunqB9PjWiKBTtNVm8gkyHgBo.s8fCS-szYkpZDYKP3zfTSXOZx3VQ9ag63d78sNvuaCg&dib_tag=se&keywords=c+batteries&qid=1788229470&sprefix=c+%2Caps%2C283&sr=8-1-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&psc=1	$ 24.99
37	Model Brain	3.00	$ 24.98	$ -	$ -	$ 74.94	https://www.amazon.com/Learning-Resources-LER3335-Brain-Model/dp/B0012OELQM/ref=sr_1_18?crid=37OBIXW681L1R&dib=eyJ2IjoiMSJ9.YrEnO1TBNCLV9bTKrW1zZKERQRmdAXXNWx6YvTTJwXwftHQX5rypRVoKkQUim3sb1p6VEl4HCaLsNjJLYEXmA-ax7duZbnTU7FCikALnGrC2BB8-g80ikFGo8vRhqkEzyxNQYqIOXhiXzhMuTNhQw2QW0jdgZPQIHBYTgvqnAA1Pb6mW9ZCzBlSH2s26zfX1p6ATjY7KSxGEzn2zljI0V_gP1G7i8JFBYRWYChFhfGg.8GoVQPllDXpnQeK6vUs3i-ZTattTpiMW1D_TW1Lwuio&dib_tag=se&keywords=brain+model+anatomy&qid=1788229759&sprefix=brain+model%2Caps%2C237&sr=8-18	$ 74.94
38	ITEMS NEEDED	0.00	$ -	$ -	$ -	$ -	INSERT LINK HERE	$ -
39	ITEMS NEEDED	0.00	$ -	$ -	$ -	$ -	INSERT LINK HERE	$ -
40	ITEMS NEEDED	0.00	$ -	$ -	$ -	$ -	INSERT LINK HERE	$ -
41	ITEMS NEEDED	0.00	$ -	$ -	$ -	$ -	INSERT LINK HERE	$ -
42		0.00	$ -	$ -	$ -	$ -	INSERT LINK HERE	$ -
43	TOTAL:					$ 180.87		$ 180.87
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