Request for consultant services: form
RIO HONDO COMMUNITY COLLEGE DISTRICT
Request for consultant services
TO: Executive Dean, College Services Date: ____________________
VIA: Appropriate Vice President
FROM:_______________________________
CONSULTANT’S Name:_____________________________________________________________
TITLE:_____________________________________________________________
ADDRESS:__________________________________________________________
TELEPHONE:________________________________________________________
RIO HONDO COLLEGE employee? Yes______ No______
ACADEMIC BACKGROUND:
Degree(s):____________________________________________________
_____________________________________________________________
Credential(s):__________________________________________________
_____________________________________________________________
Other:________________________________________________________
TITLE AND DESCRIPTON OF SERVICES:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
DATE(S) OF SERVICE:_________________________________________________
PAYMENT:_______________ BUDGET SOURCE(S):________________________
APPROVALS: (Approval signatures must be obtained before submitting to College Services)
_____________________________ ___________________________
Cost Center Manager Appropriate Vice President
_____________________________ ___________________________
Chief Financial Officer Executive Dean, College Services
Revised 5-01
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