Spreadsheet: 15047d55-60f8-4cb9-81ac-78fc3754f802
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7
Request for Establishing A New Service Center
 | A. | Service Center Name:
 |  | [NAME]:
 |  | [NAME]
 |  | Award Owning Org:
 | B. | Description of product(s) or service(s) to be provided:
 |  | Project Name:
 |  | Project Owning Org.:
 |  | Project Start Date:
 |  | Task Name:
 |  | Task Number:
 |  | Task Owning Org.:
 |  | Task Start Date:
 | C. | Description of the potential users, including any external users:
 |  | (If there will be external users please also complete Exhibit E-2 External Sales)
 | D. | Projected Level of Activity: (Allocation Methodology)
 |  | Estimated level of service center activity (volume) for the budget period. For ex.: hours
 |  | of usage, estimated no. of copies, no. of samples, etc.  Describe your assumptions.
 | E. | Budget Summary |  | For period from  MMM-DD-YR  to  MMM-DD-YR.
 | Budget Guidelines:
 | • Use separate pages or spreadsheets to provide details of budgeted amounts for
 | salaries, equipment depreciation, and other costs by expenditure code.
 | • Include by expenditure code, name, title or position, and % FTE for each salary amount.
 | • Provide a list of capital assets that will be used in the service center.  Please contact
 | PMO for assistance if there are numerous capital assets to be identified.
 | • Provide sufficient detail in the list of other costs to allow reviewer to verify that
 | projected expenses are both reasonable and complete.
 | • No unallowable costs (interest-unallowable, alcohol and entertainment, unallowable
 | travel, etc.) may be budgeted to an academic service center.
 | Salaries: Total of salaries from attached list
 | Benefits: Benefits @ _____________%
 |  | Current Year Fringe Rates: |  |  | http://www.stanford.edu/dept/ORA/gcrs/rate2.html
 |  | Total Compensation
 | Depreciation: Total of depreciation from attached list
 | Other Costs: Total of other costs from attached
 |  | Total of depreciation and other costs
 | Total Budget: Total of compensation, depreciation, and other costs
 | [NAME])
 |  | Total Budget (E.)
 |  | Projected Level of Activity (D.)
 | G. Guarantee PFO / PTA
 | Identify the source of funds to be used to absorb entire deficit (underrecovery)  if it
 | exceeds 15% of an academic service center's total annual expense, including any
 | net balance carried forward from the prior year.   Administrative service centers
 | are required to breakeven within 5%.
 | PTA or PFO:
 | H. Responsible Person |  |  | (Unless otherwise noted, the same person will be listed on
 |  |  |  | all three fields: Project, Task, and [NAME])
 | Service Center Manager /  Principal Owner:
 | Name: ____________________________
 | Title/Position: ____________________________
 | SUNet ID, Mail Code & Phone Extension: ____________________________
 | Financially Responsible Person /  Project Manager:
 | Name: ____________________________
 | Title/Position: ____________________________
 | SUNet ID, Mail Code & Phone Extension: ____________________________
 | I. Department and School Approval
 | Approval of service center and acceptance of operating and financial responsibility:
 | Department Chairman: ___________________________ Date: ________
 | Print / Type Name Above: ___________________________
 | [NAME] (or equivalent): ____________________________ Date: ________
 | Print / Type Name Above: ___________________________
 | If this is for an administrative service center, the Budget Office must approve:
 | Budget Office: |  |  |  |  |  | Date:
 | [NAME]
 | Forward this completed request to the Compliance Analyst in Research Administration
 | Policy & Compliance for review and approval.  127 Encina Commons MC 6025
 |  | [NAME] with "jobaid" descriptions:
 |  | http://www.stanford.edu/dept/itss/finsys/learningcenter/resources_jobaids.html