Perkins Fund Request
Use this form to submit requests for payment for Perkins projects
Name of Submitter
*
E-mail
Program of Study Cluster
*
Please Select
Agriculture/Viticulture/Enology
Culinary
Manufacturing/Drafting/Engineering/Automotive/Welding
Early Childhood Education
Office Systems/Business/CIS
Program Development
Division
*
CTE
A&S
Project Title
*
Project #
*
Please Select
POS Connections T01251
POS activity implementation T01253
TSA Industry Standardization T01254
Database or Mobile Programming PD T01255
Accounting PD T01256
Cisco Instructor Conference T01257
Leadership PD T01258
Enology Faculty PD (in-State) T01259
Enology Faculty PD T01260
T-TEN Curriculum consortium T01261
Office Tech PD T01262
Technology training for ECE T01263
Entrepreneurship PD & Cert T01264
Auto techstream lite T01265
Welding Improvements T01266
Video documenting culinary skills T01267
On line recipe development T01268
Comp 2.0-Computer literacy course development T01269
Auto Curriculum redesign T01270
CAD/CAM and Water Quality T01271
Culinary Equipment T01272
CTE Tutoring T01274
Entrepreneurship Projects T01275
Equipment
*
Indicate each purchase on a separate line with the $ amount for that item. 0 if no costs.
Total amount of equipment purchase
*
0 if no costs
Submit invoices/district payment for equipment
Upload a File
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Does the project include faculty/staff payroll?
*
yes
no
Total payroll or sub costs
Staff/Faculty Payroll Authorization Form and or timesheets
Upload a File
UCC staff must have PAF and/or time sheets. HS subs must have district sub documentation.
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Does the project include travel?
*
Yes
no
Total travel costs
Pre-Approved Travel Expense Voucher
Upload a File
http://www.umpqua.edu/academic-programs/perkins/799-perkins-forms-and-publications
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