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* 1. College Name:

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* 2. Contact Name:

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* 3. Email:

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* 4. Total Amount Requested 2022-2023

For questions 5-7 please consider the below categories and provide a one lump sum amount you plan to spend and/or invoice

- Salaries, Wages, and Benefits
- Goods and Services
- Tuition
- Books, Tools, Testing, Fees

Example-We anticipate spending a total of 56,000 for spring 2023

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* 5. Anticipated amount for winter 2023 to be invoiced on April 30, 2023

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* 6. Anticipated amount to be spent for spring 2023

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* 7. Anticipated amount to be spent for summer 2023

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