Board of Trustees Meeting Agenda Item Submission

First Name*

Last Name*

Email*

example@midmich.edu

Position or Role at Mid*

Enter your current job title.

Title of Agenda Item*

Enter the title as it should appear in the meeting agenda.

Has this item been approved for the agenda with the President? If not, please see your supervisor.*

YesNo

Items for the Board agenda must be pre-approved by the President prior to submission. Contact your supervisor to begin the approval process. Upon receiving Presidential approval submit your agenda item using this form.

Will you be presenting this agenda item?*

YesNo

If not, provide the first name, last name, and title of who will be presenting.

Enter their First Name, Last Name, Title.

Please select the Board Meeting Date.*

MonthDayYear

Are you submitting a purchase request?*

YesNo

Upload bid sheets related to the purchase request.

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What is the total cost of the purchase request?*

How will this purchase request be funded? Be specific and detailed.*

Existing Budget/Is Budgeted in the Department - Perkins/Federal Funding - Grant Funded/Provide Grant Name - Privately Funded - Needs Additional Funds/No Funds Available But Emergency/Critical Need

Provide a brief description of the agenda item. Include the reason you are bringing this to the Board, what departments will be involved, and if there is a deadline for approval.*

What is the Board Policy Number pertaining to this agenda item request?*

What specific outcome are you hoping the Board will reach with this item?*

Motion to ApproveNo Action Needed - Informational OnlyOther

Upload any pertinent information related to this agenda item.

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Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact the office of the President at (989) 386-6601 or alince@midmich.edu.

In its commitment to providing a safe environment, Mid Michigan College actively endeavors to broaden our diversity, promote equal opportunity, and prohibit any form of discrimination in its programs, activities, and conditions of admission or employment. Learn more about these efforts and policies by visiting midmich.edu/eeo, midmich.edu/titleix, midmich.edu/securityreport.

Has this item been approved for the agenda with the President? If not, please see your supervisor.

Items for the meeting agenda must be approved prior through appropriate channels.

Has this item been discussed/endorsed by a shared governance committee? Please explain why or why not and list which committee(s)?*

Please list multiple committees separate by commas.

Please attach bid sheets or other pertinent information.

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