Yoakum Isd Pre-Acquisition Approval Form
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Yoakum ISD Pre-Acquisition Approval Form
Person Making Request: _________________________
Date: ___________________________________
Please fill in your entire budget code. Here is an
xxx
xx
xxxx
xx
xxx
xxxxxx
Complete Expenditure Code: ________________________________________________________________
example: 199 11 6397 08 103 011000.
Campus: _____________________________________
Position: ________________________________
CIP
DIP
Technology Plan
Goal, objective and strategy that references this expenditure: ____________________________________
CIP/DIP/Tech Plan Description: _____________________________________________________________
The principal will code the funds requested.
Funds requested:
General
Title II D/SSA
ARI/AMI
Low Income & Rural
If the Technology
Title I A
Title III/SSA
SCE
Carl Perkins
See page
Coordinator is creating
the Purchase Order, you
Title I ARRA
Title IV/SSA
OEYP
H.S. Allotment
2 for
may leave the vendor
codes.
information blank.
Title II A
Title XIV
Technology
Activity
Vendor (check made to): ___________________________________________________________________
Address: ________________________________________________________________________________
Phone: ______________________________________
Fax: ____________________________________
Brief description of the item(s) requested (also attach order form):
Rationale supporting how this will increase student achievement:
COST: ____________________________
(Include shipping)
If this pre-acquisition is for staff development, please indicate how you will embed your staff development
training into practice on your campus.
Teacher Requester:
____________________________
_______________________________
Signature
Date
Principal/Supervisor Approval: ____________________________
_______________________________
Signature
Date
Superintendent Approval:
____________________________
_______________________________
Signature
Date
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Parent category: Business