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