Boise State UniversityOne-Time Special Funding Request (SFR) Budget and Planning

Instructions: Mail (MS1232) or email () completed forms to Budget and Planning for processing. See approval (last)page for routing. / SFR#______
Proposal Title:
Department/Division:
Date of Request: / Phone:
Requestor’s Name: / Mail Stop:
Total Amount Requested / $
Fund.Department.Cost Center (FDCC) to reimburse / ####.#####.#######

Proposal Summary - Provide concise narrative describing the proposal.

Type of Funding Requested -Check type of funding request.

☐ One-time supplemental funding to address an extraordinary challenge or opportunity that was not anticipated during the annual budget development process. Each request should demonstrate financial need after considering annual and carryforward budget resources of the department, program, and college / division. By submitting a request, you are affirming that you do not have sufficient resources in the department, program, and college / division to cover the expense without a substantial disruption in operations.

☐ For non-academic revenue units: one-time supplemental fundingfor FMLA, vacation payouts, or moving expenses for appropriated base funded positions. By submitting a request, you are affirming that you do not have sufficient regular salary budget to cover the expense. If selecting this option, once header information (above) is complete, skip to the last page for approvals.

Additional Information for Extraordinary Challenges or Opportunities

Impacts and Outcomes:Describe the anticipated direct/indirect impacts and demands of the proposal on the University and/or the larger community/region

Describe the anticipated direct/indirect outcomes associated with the proposal for the University and/or the larger community/region.

Consideration relative to impacts, demands, and outcomes should include, but not be limited to: students; enrollments; faculty deployment; staff deployment; academic program delivery; support services; campus facilities; campus environment; cross-functional and cross-organizational coordination; community/regional issues; quality; productivity and efficiency issues.

If proposal involves a multi-year implementation strategy, the multi-year impacts, demands, and outcomes should be described.

Describe how outcomes will be measured:

Strategic Linkage:Include a detailed description of the relationship that the proposal has to the strategic priority areas and/or core values identified and established in the strategic planning process: “Focus on Effectiveness, Boise State University’s strategic plan for 2012-2018” or Program Prioritization, conducted between June 2013 and July 2014.

Describe Strategic Linkage Here:

When Are Funds Needed -Indicate a preferred date or the FY the funds are needed. Describe why this request cannot wait until the annual budget planning process.

Describe why Funding is needed before the Budget Planning Cycle (included date needed):

Rev. 12/2016Page 1 of 3

Boise State UniversityOne-Time Special Funding Request (SFR) Budget and Planning

Approval of this request provides for nonrecurring (one-time) funding of the project/initiative. Recurring funding requests must be advanced through the annual budget process. The signature of the divisional Vice President/Provost indicates that a reasonable attempt has been made to identify funding from within the major area prior to advancing this request to Budget and Planning.

Approvals

Dean/Director
Signature
Printed Name/Title
College/Dept/Unit
Date
Division Vice President/Provost(for requests outside of Finance & Administration)
Signature
Printed Name/Title
Date
Budget & Planning
Signature
Printed Name/Title / Ken Kline, AVP Budget and Planning
Date
Funding Source(s)
VPFA Approval (Required for Extraordinary Expense Challenge/Opportunity)
Signature
Printed Name/Title
Date
University President Approval (As Needed for Extraordinary Expense Challenge/Opportunity)
Signature
Printed Name/Title / Robert Kustra, President, Boise State University
Date

Budget and Planning will distribute approved copies as appropriate to: Requestor, VPs, et al

Rev. 12/2016Page 1 of 3