---

Document / Initiative Title:

---

Description / Purpose:

---

---

---

Submitted By:

Name: __________________________
Department: _____________________
Date: ___________________________

---

Approval Section

Department Head	Title	Signature	Date	Comments
___________________________	____________________	___________________	______________	_____________________________
___________________________	____________________	___________________	______________	_____________________________
___________________________	____________________	___________________	______________	_____________________________
___________________________	____________________	___________________	______________	_____________________________

---

Final Authorization

Approved by:
Name: __________________________
Title: ___________________________
Signature: _______________________
Date: ____________________________

---

Instructions:

• This form must be completed and signed by all relevant department heads before submission.
• Return the signed form to the SayPro Strategic Partnerships Office via the SayPro website portal.
• For assistance, contact: strategic.partnerships@saypro.org

---

Would you like this as a fillable PDF form or a Word document template?