CDC(EXHIBIT) - OTHER REVENUES: GIFTS AND SOLICITATIONS

TULOSO-MIDWAY INDEPENDENT SCHOOL DISTRICT

GIFT FROM THE PUBLIC DONATION FORM

Campus / Department Date of Report

Administrator

Gift / Donation

Description of item: Value $

Purpose of item

Explain purpose:

? Instructional ? Administrative ? Extracurricular ? Other

Criteria for Acceptance

To be considered for acceptance, the gifts or bequests shall:

Have a purpose consistent with District purposes.

Place no restrictions on the school program.

Not require the endorsement of a business product.

Not conflict with policies or actions of the Board or public law.

Not require extensive District expense

Criteria met: ? Yes ? No

Gift Received by Date Received

Follow-up Action / Approval, if applicable

Technology Department: ? Yes ? No ? N/A Administrator

Curriculum Department: ? Yes ? No ? N/A Administrator

Business Office: ? Yes ? No ? N/A Administrator

Budget Code Assigned _____—___ —_____—___ —_____Date

Fixed Asset Assigned _______________________________Date

Acknowledgement Notice sent on

Board of Trustee notification

Tuloso-Midway ISD

CDC(EXHIBIT)-X

LDU-42-04

DATE ISSUED: 10/18/2004