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. 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 ...
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