DOS Charitable Contributions Form
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Charitable Contributions Required Approvals
To be attached to expense report
Benefiting Non-Profit Organization: ___________________________________________________________
Contribution Amount: $___________
Description of the Contribution: ______________________________________________________________
_______________________________________________________________________________________
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Name of Department/Student Organization: ______________________________________________________
COA String and POET Information: ___________________________________________________________
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Requested By: ________________________________________________________聽 聽 聽 聽 聽 聽 聽 聽 聽 Date: _________
Requester email address: _____________________________________________________________________
(Requester to forward form to Student Org advisor for approvals)
Advisor Approval: _______________________________________________________聽 聽 聽 聽 聽 聽 聽 聽Date: __________
Dean Approval: _________________________________________________________ 聽聽 聽聽聽聽聽聽聽聽聽聽Date: __________
Provost (or designee) Approval: ____________________________________________聽 聽 聽 聽 聽 聽 聽 Date: __________
(Donations over $1,000)