Student Services Fee Funding Request for FY18 Name of SSF line: Name of SSF line administrator: Name of person completing this funding request: Briefly respond to each statement below providing enough detail to ensure the Student Services Fee Committee (SSFC) will have the information to accurately review your request. Insert your responses below each question or statement. Your submission should be limited to a maximum of three pages (including this page) with no answer exceeding 200 words. It should be double spaced, using size 12 Times New Roman font. Send the following information to Katie Evans at firstname.lastname@example.org by January 19, 2016: Completed Funding Request Form. [Save using the format of “Line Name Funding Request for FY18” (example: Panther Pass-Music Funding Request for FY18).] Excel spreadsheet entitled “Revenue and Expense Report.” [Save using the format of “Line Name Revenue and Expense Report” (example Panther Pass-Music Revenue and Expense Report).] If more than a 5% increase in funding is requested, provide a detailed budget for the additional amount and justify the need. [Save using the format of “Line Name Budget Justification (example: Panther PassMusic Budget Justification).] FY16 Allocation FY17 Recommended Allocation FY18 Request 1. Provide a brief explanation for any increase requested. 2. How many total UNI students participate in your program, activity or service? If possible, also please give unique student numbers. Showing multiyear trends in participation is preferred. Indicate how the numbers were calculated. 3. Have external or internal factors impacted student participation or affected your overall budget? If so, please explain. 4. Describe your efforts to seek alternative funding and/or to find ways to collaborate with other entities to improve efficiency and reduce the need for student fees to support your operation. 5. What will happen to your program, service or activity if you don’t receive the total dollars requested? Indicate how you will prioritize your budget request if full funding is not received.