Department of Spanish and Portuguese University of Texas at Austin FORM TO REQUEST DEPARTMENTAL FUNDING FOR A SPECIAL PURPOSE Instructions: please complete this form and leave it with Victoria Salguero. Your Name: Date of Event/Meeting, if applicable: Benefit to the Department: Description of your participation: Other funding available for this purpose: Other Source(s) Amount Requested Anticipated budget (description of what is needed/cost): $ $ $ $ $ Total: Amount you are requesting from S&P for this purpose: Amount approved by chair for this event: Chair’s signature: Dr. Jill Robbins, Chair Date: