Requesting Department or Organization:
________________________________________________________________
Contact Person’s Name Phone no E-mail Address
_______________________ _________ __________________________
Campus or other mailing address
________________________________________________________________
Please answer the following in a short paragraph(s):
A] Describe briefly the event, project or program being planned.
B] The purpose of this fund is to further educational efforts that will enhance understanding and tolerance of those whose sexual orientation or gender identity differs from the majority in our culture and to demonstrate the constructive contributions this important segment of our society is making. In what way(s) will your event/program/project advance the goals of this fund?
C] Provide an itemized copy of your budget/cost breakdown and alternative funding (sources and contributions), and include how you will use Kidder Funds.
Expected participants may include:
Faculty _____ Staff _____ Students _____ Community members ______
Date Funding Required: Amount Requested:
___________________ _____________________
Funds to be transferred to UNH Account Number: _____________________
BSC Contact person or Budget Administrator: ___________________________
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Please return form to Janice.Pierson@unh.edu
, or Thompson Hall, Rm G14, Questions: TEL # 862-1058
Amount Approved______________________________ Account Information: __________________________