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					                                 USG Independent Contractor
                                     Budget Worksheet

Name Of Club:                    Contact Information:                     Phone #:

Name of Independent Contractor:                             Phone#:

Fall or Spring Semester?

  Date/Day          Times        Total      Number of       Hourly          Total      Description
  Working          Working       Hours       Weeks          Wage          (CxDxE)       of Work
    (A)              (B)          (C)         (D)            (E)                        P=practice
                                                                                       C= competition
                                                                                         O = Other




                                                          Total
                                                          Payment

Please attach a detailed description of the responsibilities of your coach/instructor and a
justification for the amount you would like to pay him/her. Providing salary documentation
(what others are paid in the field or what the going rate for services) will help expedite the
approval process.

______________________________________
Club Representative, Position

______________________________________
Program Advisor Signature


______ Approved                _______ Rejected              _______________ Date

				
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