Cooperative Agencies Resources for Education by pa7E4jCO

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									Extended Opportunity Programs and Services
California Community Colleges
1102 Q Street, Suite 4554
Sacramento, CA 95811-6549



                           2012-13 EOPS MID-YEAR REPORT

                         Declaration of 2012-2013 Unused EOPS Funds
This certifies that ________________________________________ College has determined
that it will have $_______________ of unused 2012-2013 EOPS funds and hereby
requests that our 2012-2013 EOPS base allocation be reduced by this amount.


                        Request for 2012-2013 Reallocated EOPS Funds
This certifies that ________________________________________ College requests EOPS
reallocated funds for 2012-2013. This request addresses the four priorities for
granting reallocated funds as established and identified in the “Instructions for
Completing EOPS Reports”. The funds will used as follows:


Amount: $ ___________ Priority #_____** Purpose:___________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________


Amount: $___________ Priority # _____** Purpose: ___________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
** For definitions of priorities, see “Instructions for Completing EOPS Reports ”
_____________________________________________________________________________________________

________________________________________________(____)________________________________________
Signature and Name of EOPS Director                          Phone Number        Date

_____________________________________________________________________________________________
Signature and Name of Supervising Administrator for EOPS                         Date

_____________________________________________________________________________________________
Signature and Name of District Business Officer                                  Date

_____________________________________________________________________________________________
Signature and Name of Superintendent/President or Designee                       Date


           Return one form postmarked with all required signatures by
                             February 1, 2013 to:
                                  Kelly Gornik, EOPS/CARE Specialist
                                     California Community Colleges
                                        1102 Q Street, Suite 4554
                                      Sacramento, CA 95811-6549

 Please complete this form even if no EOPS funds are being returned or being requested.

								
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