Forms/Templates



Colorado School of Mines
FY2019 Fee Template - No Change or Fee Elimination

* Today's Date
* Department
* Department Head/Division Director
* Contact Person
* Request is for:
No Change
Elimination
* Fee Name:
* Fee Type: (refer to Fee Policy for definitions)
Course
Program
Student
Admin.
* Who will be charged this fee? (ex. students in a particular program or class, or year, or major)
* Course Title
* Course Number
* Charge Basis:
Course
Credit Hour
Student
* Is this permanent or temporary (if temporary, provide an end date)
Permanent
Temporary
End Date
* Effective Term and Year
Fall 2018
Spring 2019
* Current Fee Rate:
* Current Fee Balance:
* Fee Fund Balance Explanation: (ex. why there is a large fund balance or why fund balance is in a deficit)
* Requested Fee Rate:
Rationale for Request: (provide a detailed explanation of what the new or increased fee will fund, why it is necessary, what exactly will be purchased, etc.)
Student Impact: (how will the new or increased fee support student success)

Please fill out the appropriate information below. If this is a new student fee, you will only need to complete FY19.

FY18 Estimated Revenue
Student Enrollment (headcount)
Current Fee/Proposed Fee

FY18 Estimated Expenses (list major categories)
1.Amount:
Expense Category
2. Amount:
Expense Category
3. Amount:
Expense Category
4. Amount:
Expense Category
5. Amount:
Expense Category

FY19 Estimated Revenue
Student Enrollment (headcount)
Current Fee / Proposed Fee

FY19 Estimated Expenses (list major categories)
1. Amount:
Expense Category
2. Amount:
Expense Category
3. Amount:
Expense Category
4. Amount:
Expense Category
5. Amount:
Expense Category
If there is a difference between the requested fee revenue and the total projected cost, please explain the difference.

Required Signatures
Department Head/Division Director
Date
College Dean
Date

For all academic and course related fees:
Provost and EVP, Academic Affairs
Date

For all student services related fees:
Vice President for Student Life
Date



* required

Directory

Office of Budget & Financial Planning
(303) 273-3829
210 Guggenheim Building
1500 Illinois St.
Golden, CO 80401

Vicki Nichol
(303) 273-3763
Associate Vice President, Administration
vnichol@mines.edu

Steph Moran
(303) 273-3829
Budget Director
smoran@mines.edu

Shelley Tadla 
(303) 273-3257
Senior Budget and Financial Analyst
stadla@mines.edu

Danielle LeClair
(303) 273-3064
Senior Budget and Financial Analyst, Student Life and Auxiliaries
dleclair@mines.edu

Jennifer Phou
(303) 384-2584
Budget Analyst
jphou@mines.edu

Katy Ginger
(303) 384-2670
Project Manager
ginger@mines.edu

 

 

 

Organizational Chart