ࡱ> OQNb h6bjbjJJ *F(Ib(IbU$8DOQQQQQQ$bu9[[[u[O[O f ;0   $[[[[[[[uu[[[[[[[ [[[[[[[[[B :  GROSSMONT-CUYAMACA COMMUNITY COLLEGE DISTRICT REQUEST FOR INSTITUTIONAL MEMBERSHIP In order to have a membership request considered for approval, complete the following form, obtain required signatures, and forward it to the Business Office at your site. Organization:  FORMTEXT      Annual Dues: $ FORMTEXT      Fiscal Year:  FORMTEXT      Requester:  FORMTEXT      Title:  FORMTEXT      Department:  FORMTEXT      Site:  FORMTEXT      Funding:  FORMCHECKBOX Unrestricted General Fund Keycode:  FORMTEXT       Object: 5310  FORMCHECKBOX Categorical Funds, Trust, etc. Keycode:  FORMTEXT       Object: 5310  FORMCHECKBOX Other Keycode:  FORMTEXT       Object: 5310 Please provide justifi./T        4 6 8 L N P Z \ ^ b d ɜɜzɜi jhQ5@CJU jdhQ5@CJU jhQ5@CJU%jhQ5@CJUmHnHu jhQ5@CJUhQ5@CJjhQ5@CJU hQ@hQ@CJhQ@CJhQ5@CJhQ5@CJ)/UVW       sj $$Ifa$lkdv$$Ifl0$t04 la$If$a$ $ 0*$a$ $ H*$a$   4 ^ $Iflkd$$Ifl0$t04 la^ ` b d $$Ifa$$Iflkd($$Ifl0$t04 lad f $Iflkd$$Ifl0$t04 la $$Ifa$$Iflkd$$Ifl0$t04 la $Iflkdx$$Ifl0$t04 la   & ( * 4 6 8 < > \ ^ r t v   P R f h j ֽ֛֬֗΋|j hQ@CJUjhQ@CJUhQ j, hQ5@CJU jzhQ5@CJU jhQ5@CJUhQ@CJhQ5@CJ%jhQ5@CJUmHnHujhQ5@CJU. $$Ifa$$Iflkd$$Ifl0$t04 la  8 $Iflkd*$$Ifl0$t04 la8 : < > $$Ifa$$Iflkd>$$Ifl0$t04 la> @ \ $Iflkd$$Ifl0$t04 la $$Ifa$$Iflkd$$Ifl0$t04 la $Iflkd $$Ifl0$t04 la $$Ifa$$Iflkd $$Ifl0$t04 la F $$Ifa$$Iflkd@ $$Ifl0$t04 laj t v      ( * F H d f h 2p2r2t22222222223ÿڰڿڡڛ~ڿxqx hQ>*CJ hQCJj hQ@CJU hQCJ U hQCJ hQ@j hQ@CJUjT hQ@CJUhQhQ5@CJjhQ5@CJUhQ@CJjhQ@CJU"jhQ@CJUmHnHu+ p2r2222$If$xa$$a$lkd@ $$Ifl0$t04 lacation for the request, benefits to the District, etc.:  FORMTEXT        THIS FORM DOES NOT REPLACE A PURCHASE REQUEST FOR THE INSTITUTIONAL MEMBERSHIP. A PURCHASE REQUEST MUST BE COMPLETED AND FORWARDED TO THE PURCHASING DEPARTMENT. A list of these requests must be forwarded to the Vice Chancellor-Business by each campus Business Office by May 15. Submitted by:Date:Dean/Director/Vice PresidentDate:President/Vice ChancellorDate:Site Business ManagerDate:ChancellorDate: ME.F1 Institutional Membership Form Rev. 3/01 22233444445$If $$Ifa$$a$[kdF$$Iflh$$04 lal 333444445J5L55555555f6h6 hQCJhQ5>*CJ hQ5CJ hQCJ hQ5CJ hQCJhQ hQCJ55<5>5J5L5x$If $x$Ifa$kkd$$Ifl\ .$` *4 laL5N55555x$If $x$Ifa$kkdJ$$Ifl\ .$` *4 la555555x$If $x$Ifa$kkd$$Ifl\ .$` *4 la555555x$If $x$Ifa$kkdX$$Ifl\ .$` *4 la55556h6$a$kkd$$Ifl\ .$` *4 la(/ =!"#$% vDText29$$If!vh#vt#v:V l05t5/ /  4$$If!vh#vt#v:V l05t5/ / 4vDText22$$If!vh#vt#v:V l05t5/ /  4$$If!vh#vt#v:V l05t5/ / 4vDText23$$If!vh#vt#v:V l05t5/ /  4$$If!vh#vt#v:V l05t5/ / 4vDText24$$If!vh#vt#v:V l05t5/ /  4$$If!vh#vt#v:V l05t5/ / 4vDText25$$If!vh#vt#v:V l05t5/ /  4$$If!vh#vt#v:V l05t5/ / 4vDText26$$If!vh#vt#v:V l05t5/ /  4$$If!vh#vt#v:V l05t5/ / 4vDText27$$If!vh#vt#v:V l05t5/ /  4$$If!vh#vt#v:V l05t5/ / 4vDText33vDText34vDText35$$If!vh#vt#v:V l05t5/ 4vDText32{$$Ifl!vh#v$:V lh05$4al$$If!vh#v` #v#v*#v:V l5` 55*5/ / 4$$If!vh#v` #v#v*#v:V l5` 55*5/ / 4$$If!vh#v` #v#v*#v:V l5` 55*5/ / 4$$If!vh#v` #v#v*#v:V l5` 55*5/ / 4$$If!vh#v` #v#v*#v:V l5` 55*5/ / 4s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH66666666666666666666666666666666666666666666666666666666666666666p62&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH 8`8 Normal_HmH sH tH DA D Default Paragraph FontVi@V 0 Table Normal :V 44 la (k ( 0No List 2B@2  Body TextCJ6P6  Body Text 2CJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< UF j 3h6 ^ d 8 > 25L5555h6  !" &<HNcou$IU[jzZflUFFFFFFFG$FG$FG$FF8@0(  B S  ?Text29Text22Text23Text24Text25Text26Text27Check5Text33Check6Text34Check7Text35Text32Text12Text13=dJk[W 'Ov%\{mW'<Ocv@GI\ZmWTW'<Ocv%%I\{{  Zm  !*IIOPTTWl/Q*9UW@ !&!!4!!!U@ 2UnknownG.[x Times New Roman5Symbol3. .[x ArialA$BCambria Math"qh􇇌T  20SSKHP  $Pl/0!xx  Susan BodilyMichael Erickson Oh+'0|   , 8 D P\dltSusan BodilyNormalMichael Erickson2Microsoft Office Word@@G@f@f ՜.+,0 hp  GCCCD S  Title  !"#%&'()*+,./0123456789:;<=?@ABCDEGHIJKLMPRoot Entry FP4fRData $f1Table- WordDocument*FSummaryInformation(>DocumentSummaryInformation8FCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q