Student Ac*vity Budget & Purpose Planning Form

Student Ac8vity _____________________________________	□ Original Submission or □ Revision School Year 20___ - 20___	Fund ______-_______

Advisor Name ______________________________________ Supervisor Name _______________________________

Purpose of Student Ac8vity __________________________________________________________________________

_________________________________________________________________________________________________

Budget Statement

Unencumbered beginning balance $__________________ (A)

Es.mated Receipts Sources:	Amount:

1) _________________________________________________________

2) _________________________________________________________

3) _________________________________________________________

4) _________________________________________________________

5) _________________________________________________________

$______________

$______________

$______________

$______________

$______________

TOTAL Es(mated receipts

TOTAL Balance & Revenue

$______________ (B)

$______________ (A + B)

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Student Ac*vity Budget & Purpose Planning Form

Es.mated Expenditures Sources:	Amount:

1) _________________________________________________________

2) _________________________________________________________

3) _________________________________________________________

4) _________________________________________________________

5) _________________________________________________________

$______________

$______________

$______________

$______________

$______________

TOTAL Es8mated expenditures

An8cipated unincumbered ending balance

$______________ (D)

$______________ (C – D)

Notes/Comments ____________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Advisor Signature _____________________________________ Date ________________

For Treasurer’s Oﬃce Use Only : Received by ___________________________ Date __________

Submit to the Treasurer by May 1st each year

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