Student Organization Purchase Requisition

Office of
Student Activities
Student Organization Purchasing Requisition
Student organizations may expend funds from their fundraising accounts by completing a
“Student Organization Purchasing Requisition” form. If the organization is requesting a check
prior to a purchase, an invoice reflecting the amount requested must be attached and a receipt
provided to the Office of Student Activities upon expenditure. If the organization is reimbursing
an individual for purchases made on behalf of the group, a copy of the receipt must be attached.
For all other expenses, an invoice or other document verifying the amount of request must be
attached. For a full description of policies regarding expenditures, refer to the Student
Organization Handbook, which can be found at www.athenstech.edu/StudentActivities Allow
two weeks for processing of all checks.
Student Organization: __________________________________________________________
Student Making Request: ________________________________________________________
Position: _____________________________________________________________________
Phone: __________________________ Email: ______________________________________
Advisor Name: ________________________________________________________________
Phone: __________________________ Email: ______________________________________
Please provide the following details regarding the activity/program/event for which you are
requesting funds.
Amount to be paid: ______________________________________________________________
Who / Where is to be paid: ________________________________________________________
Address: ______________________________________________________________________
City: _________________________________ State: ______________ Zip: ________________
800 US Highway 29 North; Athens, GA 30601
www.athenstech.edu
706.355.5175
Is this a reimbursement?
Yes
No
If so, please attach a copy of the receipt.
Describe the reason for the payment (provide supporting material): _______________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
By signing this document, you are agreeing that these funds are being expended on behalf
of your student organization in good faith.
Student Organization: ___________________________________________________________
Student Representative Signature: __________________________________________________
Date: ________________________________________________________________________
Advisor Signature: ______________________________________________________________
Date: ________________________________________________________________________
To be completed by the Office of Student Activities and Office of Institutional Advancement.
Signature of the Director of Student Activities: _________________________________________
Date: ______________________
Signature of the Director of Institutional Advancement: __________________________________
Date: ______________________
800 US Highway 29 North; Athens, GA 30601
www.athenstech.edu
706.355.5175