STUDENT ORGANIZATION FUNDS REQUEST FORM

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STUDENT ORGANIZATION FUNDS REQUEST FORM
Please fill out the following form and return both an electronic and hard copy to an Executive Board
Member for processing. All applications must be submitted by February 4th. Include accurate contact
information as to ensure a speedy application process. ALL FUNDS ARE REIMBURSEMENT ONLY, but a
payment may be made ahead of time if there is a special circumstance.* By filling out this application, you
are agreeing that:

The funds requested are used EXACTLY what they have been requested for

Any unused funds will be returned to the Student Government

All information provided is true to the best of your knowledge
*Note: SGA will only provide funding for EVENTS that are held by the Student Organizations.
Criteria to determine if the organization will receive the allocated funds:
Due to limited funding, the amount of monetary allocation the Student Government will reimburse will be
based off a certain criteria.* Some of the criteria considered are as follows:

Whether the student organization in question is in good standing

Whether the request has been made in a timely manner

The total amount requested

The total amount available to student organizations

Whether the group receives funds from other sources

Whether the group has received funding in the past and how effectively it was handled

Past Events and Success of Past Events
*Note: SGA will take each case individually. As such, SGA may make exceptions for special circumstances.
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STUDENT ORGANIZATION FUNDS REQUEST FORM
Funding Application
Organization Information
Organization Name: __________________________________
Organization Mission:
In five to seven lines, explain what the mission of your organization is, and how it will benefit student life.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Organizational Account Number: _____________________________
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STUDENT ORGANIZATION FUNDS REQUEST FORM
Contact Information
Advisor’s Name:______________________
Advisor’s Number:_______________________
Advisor’s E-mail:__________________________
Primary Contact
Treasurer:
Secondary Contact
Name:
________________________________________
___________________________
Organization position:
Preferred E-mail Address:
___________________________
_________________________
Preferred E-mail Address:
Telephone number:
_________________________
_______________________________
Telephone number: ______________
3
STUDENT ORGANIZATION FUNDS REQUEST FORM
EVENT DETAILS
Event Title: ________________________________
Event Date and Time: __________________________
Event Location (Please include any other locations the organization might use):
______________________________________
Event Details:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Event Goals:
In five to seven lines, explain how your even will benefit student life, and the goals your organization is
hoping to achieve after its completion.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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STUDENT ORGANIZATION FUNDS REQUEST FORM
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Event Schedule (Please Attach):
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STUDENT ORGANIZATION FUNDS REQUEST FORM
Expense Information
Co-Sponsorship/Other Funding Sources:
Please list any other sources that are sponsoring your event and how much they are providing.
Sponsor Name:
__________________________
Contact: ______________________
Amount Donated: ______________$
Phone:______________________
Sponsor Name:
__________________________
Contact: ______________________
Amount Donated: ______________$
Phone:______________________
Sponsor Name:
__________________________
Contact: ______________________
Amount Donated: ______________$
Phone:______________________
Sponsor Name:
__________________________
Contact: ______________________
Amount Donated: ______________$
Phone:______________________
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STUDENT ORGANIZATION FUNDS REQUEST FORM
Budget Proposal (Please Attach):
Please include a detailed proposal of your expected expenses. In this proposal, state which items your
organization is purchasing, what they will be used for, and how much both the individual and total cost will be.
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