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FY2004

(July 1, 2003-June 30, 2004)

ADMINISTRATIVE INFORMATION SYSTEMS

PROJECT NUMBER REQUEST FORM

(SELECT ONE)

NEW_______

CHANGE_______

DELETE_______

ACCOUNT NUMBER		-     -                     - 6 9 1 3 0 0
		FUND       FUNCTION       UNIT                   OBJECT (NOT TO EXCEED THE NUMBER OF SPACES PROVIDED).

PROJECT NUMBER				CODE WORD
(ASSIGNED BY BILLING AREA IF "NEW")						(EIGHT CHARACTERS OR LESS)

PRINCIPAL USER(LAST NAME FIRST)

NAME ______________________________________________________________________________________________________________
ADDRESS ___________________________________________________________________________________________________________
DEPARTMENT ________________________________________________________________		CAMPUS BOX |____|____|____|____|
CITY __________________________________________	STATE |____|____|	ZIP |____|____|____|____|____|
TELEPHONE NUMBER _____________________________________

ADD |______| SUBTRACT |______| AMOUNT $ |____|____|____|,|____|____|____|.|____|____|           (Y/N)                      (Y/N)   THE AMOUNT ALLOCATED SHOULD BE THE MAXIMUM DOLLARS BUDGETED FOR THIS PROJECT NUMBER.

CANCEL IF NO FUNDS |______|	RENEW |______|	LIST REMAINING FUNDS |______|
(Y/N)	(R)	(Y/N)
	WILL AUTOMATICALLY RENEW FOR FY2005
USE TYPE |____|____|	USED FOR TSO |____|	EXPIRATION DATE |____|____| |____|____| |____|____|
	(Y/N)	MONTH         DAY        YEAR
		WILL EXPIRE 06-30-2004 UNLESS OTHERWISE INDICATED
(USE TYPES)
01 ADMIN PRODUCTION	02 ADMIN TESTING	03 INSTRUCTION
04 FUNDED RESEARCH	05 RESEARCH	06 THESIS
07 PRIVATE USERS	09 OTHER

INSTRUCTIONAL USE ONLY (Optional) COURSE |____|____|____|.|____|____| SECTION |____|____|____| YYS |____|____|____| RUN LIMIT |____|____|____|____|____|____| INDIVIDUAL ACCOUNTING |____|     (Y/N/M) (MONITOR)   INSTRUCTOR'S PROJECT # |____|____|____|____| NUMBER OF STUDENTS |____|____|   (IF MONITOR OPTION SELECTED)

PROJECT TITLE (IF DESIRED) ___________________________________________________________ FISCAL AGENT ___________________________________________________________                          (PLEASE PRINT OR TYPE) SIGNATURE: X ___________________________________________________________

(FOR OFFICE USE ONLY) ______________________________ (AIS EMPLOYEE) ___________________ ___________________ (DATE) (ON-LINE)