Associated Students, Inc.
2013-2014 BUDGET REQUEST
Request Deadline: February 15, 2013 at 5pm
IMPORTANT REMINDERS:
 Submit the original and one copy of this funding request to Associated Students, Inc. in USU 317
 The application must be typed.
 Get the copy stamped by Associated Students, Inc. for your records.
 Indicate any events/funding you would consider being a priority.
 Not all programs, nor all components, of a program may receive funding.
 Budget requests will be considered for programs and services that uphold, expand, and execute the mission and
scope of the Associated Students, Inc. (ASI) of California State University, Fresno.
 Requests must be consistent with the ASI Mission Statement and the approved uses for student funds (Title V).
 Applicants may be required to meet with the Finance Committee to explain the request in greater detail.
 Please direct all questions to the ASI office (278-2656). If you would like to speak with the Vice President of
Finance, Rebecca Rosengarten, please call or stop by USU 317 to set up an appointment.
This application also available on ASI’s website: www.asi.cufresno.edu
Associated Students, Inc.
2012-2013 BUDGET REQUEST
Submit the original and one copy of this application to the Associated Students Inc. Office in USU 317
I. PROGRAM INFORMATION
(Form must be typed)
Organization/Program (club, association, group or individual requesting funds):
Name of activity or project for which funds are intended:
Was the activity or project funded by ASI in prior years? Yes
No
Contact Person:
Phone:
E-Mail:
Department:
Phone:
Mail Stop:
Mail award letter to (type name):
NOTE: Address/Mail Stop is necessary to receive notification in the timeliest manner.
Mail Stop:
II. REQUEST SUMMARY
Please remember to include all expenses associated with the programs referenced in this application, not just funds being requested.
Total Budget
Amount Requested
Amount Approved
(Official Use Only)
Facility Charges
$0.00
$0.00
$0.00
Promotion and Publicity
$0.00
$0.00
$0.00
Speaker/Performers Fee
$0.00
$0.00
$0.00
Supplies
$0.00
$0.00
$0.00
Other
$0.00
$0.00
$0.00
Total:
$0.00
$0.00
$0.00
III. EXPENSES
(Form must be typed)
List and explain ALL costs, whether or not ASI funding is being requested for each cost. Please indicate the
total anticipated costs for each line item in the first column in Section II, the amount requested from ASI in the
second column in Section II, and a brief explanation of the costs under the corresponding portion of Section III.
Please limit your explanation to the space provided.
Facility Charges
Cost: $0.00
Explanation (rental, tech., set-up fees, security, etc.):
Requested: $0.00
Type explanation here
Promotion and Publicity
Cost: $0.00
Explanation (advertisements, promotional flyers, etc.):
Requested: $0.00
Type explanation here
Speaker/Performers Fee
Cost: $0.00
Requested: $0.00
Explanation (include speaking fee, travel for speaker/performer, lodging, and meals for speaker/performer):
Type explanation here
Supplies
Cost: $0.00
Requested: $0.00
Explanation (include only those supplies needed for a specific program):
Type explanation here
Other: Please specify
Explanation:
Cost: $0.00
Requested: $0.00
Type explanation here
Total Cost: $0.00 Total Requested: $0.00
ASI Budget Call Application - 2
IV. QUESTIONS AND ANSWERS
(Form must by typed)
Please limit your response to each question to 150 words. Attach additional documentation as necessary.
What is the nature of the organization or program for which you are requesting funds?
Type explanation here
What is the purpose of the activity for which funds are being requested?
Type explanation here
How many Fresno State students will be actively involved in participating in the program or service?
Type explanation here
How does your activity address ASI’s Mission Statement and comply with Title V?
Type explanation here
ASI Budget Call Application - 3
Describe the impact your activity will have on the students directly and indirectly involved.
Type explanation here
Describe the impact your activity will have on the community as a whole.
Type explanation here
Will this activity promote diversity and/or encourage diversity at Fresno State? If so, please explain.
Type explanation here
If you have received ASI funding in the past, please briefly describe the activities and their results.
Type explanation here
ASI Budget Call Application - 4
Please describe all funding and support you have secured for the activity for which you are requesting funding.
Include all sources of funding (i.e. membership dues, donations, gifts-in-kind, IRA funds, admission to events).
Type explanation here
ASI Budget Call Application - 5