Name
*
Please Select
Aden Sallaberry
Alexander Gorobets
Autumn Lashmet
Billy Plampin
Charlotte Brinton
Chiron Pham
Elijah Kadish
Ella Momeny
Fox Bullis
Gianna Chacon
Henry Purves
Hunter Chalakee
Isaac Mejias
Jesus Ochoa
Jordan Bothe
Kate McGowan
Lotus Garcia
Miah Barrozo
Myles Keith
Nathan Fountaine
Noah Montoya
Owen Robertson
Parker Loden
Rees Hansen
Shy Riveria
Vincent Huff
Residence Hall
*
Please Select
Lower Res
Upper Res
McAllister
North
Program Title
*
Program Location
*
Date
*
-
Month
-
Day
Year
Date
Time
*
Minutes
AM
PM
AM/PM Option
Total Program Cost
*
Total EXACT cost of program, not including ZipCar.
Receipt
*
Placed in Dropbox
Emailed to RLC
ZipCar Receipt Included
Lost
Not Applicable
ZipCar Cost
*
Total exact cost of ZipCar usage.
Lost Receipt Follow-Up
*
Contacted Vendor for Copy of Receipt?
RLC Notified of Lost Receipt?
Lost Receipt Form Completed?
Actual Attendance
*
Comments | Notes for Next Time | Concerns
*
At least three sentences minimum.
Picture(s) of Program
*
Browse Files
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Cancel
of
Sign-In Sheet
*
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Must be in excel and follow the sign-in sheet template exactly.
Cancel
of
Lost Receipt Form
*
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Must be filled out correctly.
Cancel
of
Your Cal Poly Email
*
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