Form AP-12 - Texas State University

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TEXAS STATE UNIVERSITY-SAN MARCOS
ALCOHOL, FLOWERS, FOOD, AND REFRESHMENTS EXPENSE AUTHORIZATION REQUEST
(Form AP-12)
DIRECTIONS: Please complete all sections and obtain appropriate signatures. Approvals are required from at least one reporting
level above the requesting department.
A. CONTACT INFORMATION:
Requesting Department:
Contact Name:
Contact Phone:
Date of Request:
Contact Email:
Account Manager/PI:
Phone:
Email:
B.
EVENT INFORMATION:
Date of Event/Activity:
Business Purpose of
Event/Activity:
Attendees:
Account Managers certify that these purchases further Texas State’s educational mission by directly supporting or promoting one or
more of the following: (Check all that apply for your event/activity)
___ Academic, athletic achievement, scholarship, and/or service to Texas State or the State.
___ Intellectual ideas among students, faculty/staff, administrators, and/or the public.
___ Recruitment of highly qualified students, faculty, or staff.
___ Exchange of ideas with community leaders regarding Texas State’s role in the community.
___ Assistance of the Regents, accrediting agencies, other university officials, and/or public officials reviewing Texas State.
___ Texas State student events or activities.
___ Texas State’s program of Continuing Education.
C.
FUNDING INFORMATION:
What is the source of funds for the event/activity?
D. AUTHORIZATION REQUEST SIGNATURES:
Account Manager/PI:
Date
Department Chair or Director:
Date:
Dean/Assoc or Asst VP:
Date:
Provost/Vice President:
Date:
Form AP-12
Rev: 10/10/12
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