Office of Student Life Student Organization Special Funding Request Registered student organizations are eligible to request and obtain special, one-time funding from SGA for special initiatives to supplement their budget allocation and/or fundraising initiatives. Student organization representatives should also attend the meeting of the Student Government Association (SGA) during which the request will be voted on, in order to make the groups case for the funding. For a full description regarding student organization policies and regulations, including those related to programming, refer to the Student Organization Handbook, which can be found at www.westgatech.edu/sa Student Organization: __________________________________________________________ Student Making Request: ________________________________________________________ Position: _____________________________________________________________________ Phone: __________________________ Email: ______________________________________ Additional Student Member Name: _________________________________________________ Position: _____________________________________________________________________ Phone: __________________________ Email: ______________________________________ Advisor Name: ________________________________________________________________ Phone: __________________________ Email: ______________________________________ Please attach a current year’s budget, including funding received and earned, as well as how those funds have been expended to date. Amount of special funding requested: _______________________________________________ Amount of funds currently in your allocation account: __________________________________ Amount of funds currently in your fundraising account: _________________________________ Describe how funds will be used: __________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ By signing this document, you are agreeing to follow the policies associated with this event as outlined in the Student Organization Handbook. Student Organization: __________________________________________________________ Student Representative Signature: __________________________________________________ Date: ________________________________________________________________________ Advisor Signature: ______________________________________________________________ Date: ________________________________________________________________________ Please e-mail completed form to SGA@westgatech.edu To be completed by the Office of Student Life. Amount of funding approved:_____________________________________________ Signature of the Manager of Student Life: _________________________________________ Date: ______________________ Signature of SGA Officer: _______________________________________________________ Date: ______________________ Signature of SGA President: _______________________________________________________ Date: ______________________