1. Request to Create Account


Request to Create Account

 

Name of Organization/Entity: _____________________________  Date: _________________

 

Type of Account:  _____  Student    _____  Faculty/Staff

 

Source of Funds:          Type of Expenditures:

_____ Fundraisers          _____  Services

_____  Dues            _____  Supplies

_____  Donations          _____  Travel

_____  Other: ______________________    _____  Other: ______________________

 

Please provide the name and operator number for processing requisitions (if applicable):

 

 Enter requisitions:  ___________________________

 Approve requisitions:  ___________________________

 

The Controller’s Office will deposit and disburse funds in accordance with established policies and procedures of Delgado Community College. The Controller’s Office will return any request for funds in excess of available balances.

 

______________________________________________________________________________

Signature of club/group representative    Print Name    Title with club/group

 

______________________________________________________________________________

Signature of faculty/staff advisor (if applicable)  Print Name      Title

 

 

APPROVALS:

For Student Accounts:

 

__________________________________________________________ ______________

Campus Chief Student Life Officer Date

 

__________________________________________________________ ______________

Campus Provost Date

 

For Faculty/Staff Accounts:

 

__________________________________________________________ ______________

Appropriate Campus Provost Date

 

______________________________________________________________ _____________

Controller Date  

 

Controller’s Office use only:   Date received:

Acct. # assigned: Date completed:

Form 3330/001 (7/07)

 

 

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