(Submit separate form for each project.)

1) Cost Center:      
2) Submitted By:    
3) For Fiscal Year: 
4) Project Name:    
5) Project #:           

6) Briefly describe the project covered by this request:

7) Present the rationale for this project:

8) Itemized anticipated expenses for this project according to the following NACADA budget categories:

(a) Office Supplies--List supplies needed with individual costs below:

       Total Cost of Supplies:

(b) Printing/Copying--List individual items associated with printing/copying with individual costs below:

     Total Cost of Printing/Copying:

Executive Office assistance expected?  Yes  No

(c) Telephone--List anticipated telephone services below:
 

      Total Cost of Telephone: 

(d) Postage/Mailing--include # of pieces of mail and class of service (1st, 2nd, bulk, etc.)

    Total Cost of Postage/Mailing: 

Executive Office assistance expected?  Yes  No

(e) Travel--Itemized estimated expenditures

Destination: Location:  Dates: 

Air Fare $: 

Mileage:           Total Mileage Cost ($.32 per mile): 

Lodging:

# of Nights:         Rate:            Lodging Total: 

Parking Cost:          Toll Costs: 

Ground Transportation Total:     Food Cost (Up to $35/day):

Other Costs (please explain):

       Total Cost of Travel: 
 

(f) Miscellaneous--Itemize all additional expenses not listed in the above categories. List both the item and dollar amount.

   Total Miscellaneous Costs: 

GRAND TOTAL - ESTIMATED PROJECT EXPENSES: