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Holiday Hill Elementary School |
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School Advisory Committee |
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Requisition Form |
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RUSH ___ Yes ___No |
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INSTRUCTIONS: Complete this form in it's entirety.
Attach any supporting documentation and forward to
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SAC Chairman, Ray de Lugo at ray.delugo@unf.edu.com
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rdelugo@comcast.net. Please note that the HHES |
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SAC meets on the second Monday of each month during
the school year. Unless otherwise noted, each
request |
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will be addressed at the next monthly meeting. If
your request is urgent or time sensitive, please
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as such in the subject line of your e-mail on the
top of this form. |
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Name of Requestor: |
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Date Requested: |
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Date Needed: |
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Grade or School Department that would benefit from
this request: |
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Description of Request: |
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Which part of the School Improvement Plan would this
purchase support? |
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______Science |
______ Writing |
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______ Reading |
______ Math |
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______ Parent Involvement |
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______ Foundations |
______ Civil School |
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Describe how
this purchase supports the
School Improvement Plan: |
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Estimated Amount of this Request: |
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Name of Supplier (If known): |
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School Advisory Committee Action: |
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Date received: |
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Date presented to the committee: |
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Committee Action: _______ Approved ________
Disapproved _______ Deferred |
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Date result communicated to requestor: |
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Date Check is Cut:_________ |
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Date Check sent to Requestor:___________________ |
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