FLORIDA COMMUNITY COLLEGES

2003-2004 PRIVATE CONTRIBUTIONS FOR MATCHING PURPOSES

APPROPRIATION REQUEST - FINAL CERTIFICATION

 

 

 

 

COLLEGE NAME: ___________________________________________________________

 

 

Following are the amounts by program of private contributions requested to be matched by state

dollars. These contributions were received by February 1, 2003, and have not been matched

from previous state appropriations. Please include these amounts in the appropriation request for

2003-2004.

 

 

  

  

  

  

  

 

  

Private Contributions

State Matching

Received

Funds

Requested

 

Scholarship Matching Program

  

$____________ X 100.00% = $_____________

 

 

Other Eligible Uses

  

  

  

$____________ X 66.67% = $_____________

 

 

 

 

The information provided above is accurate according to college records.

 

 

 

 

  

  

____________________________________________________________

 

  

  

  

  

President

  

  

  

  

Date

 

 

 

 

 

 

 

 

 

 

 

Please complete and return this form by 5:00 p.m. on February 11, 2003, to Maybelle

Montford, Community College Budget Office, 325 West Gaines Street, Suite 1201,

Tallahassee, Florida 32399-0400.

J/Indiv/Gayle/Forms/Matching Funds Final 1/6/03