Purchase Request Form - Soar
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1Purchase Request Form
A. Is this individual on record as a current University employee?
No – Go to B.
Yes –Do not continue with this form. Contact your SOAR advisor.
B. Was the individual a University employee at any time during the last two years?
No – Continue to complete Purchase request form.
Yes – what was the title of her/his job and the name of the office they worked for?
__________________________________________________
Fill out all the information below and turn it in to the SOAR office. Purchase Orders (POs) are ready in
6—11 business days. You may call SOAR @ 831.459.2934 to check if your PO is ready.
Date PO is needed by
______________________(Allow 6 business days for frequently used vendors. Ask for timeline for all others)
Name (Print): ____________________________________ Phone: _________________________________
Email: ___________________________________ Organization: _________________________________
My signature certifies that providing food or beverages will: increase student attendance; promote cultural understanding or support student participation at a mealtime.
Authorizing Signature_____________________________________________________________________
Number of Participants: _________________________ Date of Event or Service: _____________________
Name of Event: ________________________________ Event location: _____________________________
Vendor: ________________________________________________________________________________
Vendor Address (Specify Street and City): ___________________________________________________
A 204 form is required for new vendors and must be submitted with purchase order request. If this is a new vendor, please
provide the phone number and email of the vendor.
! Supplies to be purchased (Brief description): _______________________________________________
_______________________________________________________________________________________
! Service—Quote Required (Describe in detail & length of time): ________________________________
_______________________________________________________________________________________
! Food/Beverage— (Brief description): _____________________________________________________
_______________________________________________________________________________________
Name of Shopper(s)
_________________________________________________________________
(2 max):
Total Cost including Tax and delivery may not exceed
$_________________________________
Take funds from the following fund(s) source: Earned Inc. $_________________ CEP$__________________
College Gov. $________________ Other (________________) $_________________ and from the following
program/budget category (operating, Fall Reception, Spring Dance, etc.):______________________________
For SOAR use
Fund
Org Code
Account
Activity
Amount
Advisor Signature(s): Org Level:_______________________F&E Level_____________________________
PR#__________________________________ ERF#________________________________________
Rev. 9/14
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Parent category: Business