TREASURER TRAINING
STUDENT DEVELOPMENT AND
CAMPUS ACTIVITIES
ESTABLISHED FALL 2013
1
Table of Contents
Page #
Vision Statement
3
Mission Statement
3
Values
3
Introductions
4
Types of Accounts
5
Revenue Opportunities
6
Purchase Requisitions
7, 20
New Vendor Update Form
7
Document Services
8
Tax Exemption
9
Honorarium
10
Petty Cash
11
Fundraising Process
12, 22-24
Special Payment Request
13
Journal Vouchers
14
Travel and Expense Reimbursement
15
Gift Card Process
16, 25-27
Conference Process
17, 28-31
Contracts
18
Appendix
19-31
2
Vision Statement
To foster an inclusive, experiential learning environment and create dynamic co-curricular
opportunities for the intellectual growth of our students as they prepare to be global leaders of
the world.
Mission Statement
To develop students into responsible, well-rounded, and self-reliant individuals. We empower
by promoting a broad range of programs and services to engage students in leadership
development and to involve them in campus life. We adapt to the evolving needs of our students
and community by building working partnerships within and outside of the university.
Values
In fulfilling the vision and mission, the following values will guide the Center for Student
Development and Campus Activities specific strategic goals and activities.





Service to Students - We will continue to assist our students to achieve their individual
and collective goals through leadership programs and services specifically designed to
help them succeed and become greater global citizens and leaders.
Diversity - We will actively model and promote a campus culture in which respect,
responsibility, diversity of varied ideas, and individual perspectives are valued.
Accountability - We will assist in the process of acquiring knowledge and developing
skills to reach individual potential.
Community - We will embrace a culture of open dialogue, mutual respect, commitment
to long term relationships, collaborations and a sense of belonging that inspires Pace
pride.
Advocacy/Adaptability - We will support a campus climate that serves as agents of
change through meaningful contributions within the campus, locally and globally.
3
Congratulations!
You’ve been chosen by your organization to represent its financial decisions to the Activities
Center and be responsible for administering your organization’s financial transactions. If you
are the chief financial officer, you have also been entrusted with keeping the official ledger
book of your organization. You were selected for your financial integrity and accounting
ability. Such an important officer holds important responsibilities.
In general, treasurers and other financial officers are expected to:
o
Be custodians. Collect, deposit, and disburse the funds of the organization.
o
Give receipts (keeping a duplicate) for any cash or checks received such as dues.
o
Prepare vouchers for reimbursement, transfers and contract payment
o
Disperse funds only as authorized by the bylaws or the assembly or other
granted authority (such as the executive board)
o
Verify that all bills are within the budgeted amounts.
o
Maintain neat, up-to-date, accurate financial records.
o
Prepare and reconcile budget reports.
This packet includes material of the following budget items:
o Document Services
o Tax Exemption
o Honorarium
o Petty Cash Vouchers
o Special Payment Request
o Journal Vouchers
o Travel and Expense Reimbursement
o New Vendor Update
o Purchase Requisition
o Gift Cards
o Conference
o Contracts
**Please Remember: Payment request is required on OrgSync, prior to any paperwork
being processed by the Office of Student Development and Campus Activities.
4
Types of Accounts
Agency Account: Roll over year after year
Each Treasurer is responsible for the agency account while serving for that
academic year. The agency account must remain in positive standing by
the end of the year. Student Organization can find updated information
regarding the agency account on OrgSync.
Operating Accounts: University Funded Organizations (Valid August 1st
through Commencement)
Student Activities Fee Allocation Accounts per semester
The Budget Allocation Council, subcommittee of the Student Government,
disperses funding to student organizations on a semester basis. The total
amount approved to the student organizations is based on the total
amount of funding used from the previous semester.
5
Revenue Opportunities
Fundraising
Dues
Raffles
Table Sales
Ads
Innovative fund drives
Charging for Services Rendered
For Student Organizations and University Funded Organizations such as Pace Press, WPUB,
Aphros, Pace Advertising Club, Pop-TV, and Legend; the students can provide a pricing package
to departments for development of products or ads to promote events throughout the campus.
For example, SDACA can request for the Pace Advertising club to provide a logo for SDACA. The
Pace Advertising club can charge for the creation of the logo. Once the logo is completed, the
Pace Advertising club will provide the department with an invoice of the total cost of the logo
production. The total cost will indicate the total revenue to transfer into the agency account of
the Pace Advertising club. The journal voucher must be completed after the invoice is submitted.
Depositing Funds
The activities center is open Mon – Fri 10AM – 6PM. Deposits after 6pm and weekends should
be arranged prior to the event with your SDACA advisor. Late night and weekend deposits are
made with the Night & Weekend Manager. For an event that requires ticket sales, you can use
the SDACA approved ticketing system. Send a request to your SDACA advisor indicating the
following items:
Name of Student Organization
Co-Sponsoring Student Organizations
Name of the Event
Date and Time of the Event
Cost of Ticket for Pace Student
Cost of Ticket for Non-Pace Student
Step 1: Complete a deposit slip along with a cash counting form.
Step 2: Get a Campus Activities staff member to sign it and keep a copy. It is your only record.
Step 3: Submit the deposit slip, cash counting form, and revenue to the SDACA staff prior to the
end of the event.
Step 4: Send an email to your SDACA advisor indicating total amount raised and how the
student organization would like to spend the revenue collected.
Remember: Don’t leave campus with cash! If you are stuck carrying a lot of cash and the
Activities Center is closed and SDACA staff did not attend the event, ask the Security Office to
get in touch with the night manager or one of the directors. Safety First!
6
Purchase Requisitions
Step 1: Complete a purchase requisition form and submit it to SDACA at least three weeks prior
to the event.
Step 2: Please submit a payment request with the payment type as a purchase requisition.
Purchase Requisitions are used for items such as stress balls, tote bags, and imprinted pens.
Please be advised: If the vendor is not in the system, you must submit the new vendor
update form along with the W-9.
Step 3: Purchase requisition forms must be used for items such as:
Promotional Items
Decorations
o Please be advised: For purchase requisitions such as promotional items and
decorations, the student organization are required to attach a quote or an invoice
from the vendor.
o For promotional items, please upload the artwork to OrgSync.
Step 4: Once purchase requisition is processed, the student organization will be notified via
OrgSync.
Step 5: For each vendor, the invoices must be sent to the following address:
Student Development and Campus Activities
Attn: Financial Coordinator
th
41 Park Row, 8 Floor
New York, NY, 10038
FYI…All orders must be placed by Student Development and Campus Activities.
Please refer to the appendix for the Purchase Requisition Form.
New Vendor Update Form
Step 1: Email the new vendor update form to the contact person of the vendor.
Step 2: The contact person for the vendor must complete all the information on the new vendor
update form along with a W-9 Form.
Step 3: Email the completed Vendor Update Form and W-9 Form to campusactivities@pace.edu
or fax to SDACA ay 212-346-1916 at least three weeks prior to the event.
Step 4: Student Organizations will be notified, via OrgSync, if the vendor has been approved.
Please refer to the appendix for the New Vendor Update Form.
7
Document Services
For all flyers for events, the student organization must request a promotional budget on orgsync
for approval. Once approved, the organization must complete the following steps:
Step 1: Complete the document services work order form.
Step2: Take the document services work order form to the document services department.
Step 3: The document services department will complete the cost sections.
Step 4: Submit the work order form to SDACA for signatory along with the flyer for the event.
Step 5: Once signed by SDACA, take the signed form to document services with the flyer for
processing.
8
Tax Exemption
For all services, Pace University it tax exempt. If your organization is dealing with a new vendor
and the vendor request for the tax exemption form. Please complete the information below for
processing by the Financial Coordinator.
Step 1: Complete a tax exemption form on OrgSync.
Step 2: Submit the complete tax exemption form to SDACA at least three weeks prior to the
event.
Step 3: Once the tax exemption form is processed, the exemption form will be sent directly to
the vendor.
Requestor’s Organization:
________________________________________
Requestor’s Name:
________________________________________
Requestor’s Position:
________________________________________
Requestor’s Email:
________________________________________
Name of Event:
________________________________________
Request Date:
________________________________________
VENDOR INFORMATION
Vendor Name:
________________________________________
Contact Name:
________________________________________
Address:
________________________________________
City:
________________________________________
State:
________________________________________
Zip Code:
________________________________________
Telephone Number:
________________________________________
Fax Number:
________________________________________
Email Address:
________________________________________
Additional Comments:
________________________________________
9
Honorarium
Please be advised this is only for speakers requesting $500 or below
Step 1: The Independent contract must be completed and submitted to SDACA along with a copy
of the speaker biography and/or resume and W-9 form. This can ONLY be used if the speaker is
not a client of a company or agency.
Step 2: Please be advised, if this is a new guest, they must submit a new vendor update form.
Upload the new vendor update form to OrgSync.
Step 3: Complete and submit a payment request on OrgSync. The payment type is Honorarium
for processing.
10
Petty Cash
Please Remember: This is only for purchases $99.99 or less. This should only be requested
after the event is approved and the purchase was already made. If you are requesting for
multiple reimbursements for the same event and the amount exceeds $99.99, you must
complete a special payment form.
Step 1: Complete petty cash voucher form on orgsync.
Step 2: Attach original receipts, flyer of the event, and credit statement (if purchase was made
with a credit card.
Step 3: Make sure the petty cash form is signed by the recipient and the President and/or
Treasurer of the organization.
Step 4: Submit a payment request with the payment type as petty cash.
Step 5: Submit the petty cash to Student Development and Campus Activities with all of the
necessary documents stated above.
Step 6: Once the petty cash is processed, the individual will receive an email from SDACA
indicating that the petty cash is ready for pick up to send to OSA.
11
Fundraising Process
Attach the Fundraising Request form to the budget if an event is designated as a
fundraiser
 Letter from your organization indicating the amount collected to donate to the
organization
 Completed new vendor update form (if necessary)
 W-9 Form of charitable organization
 Completed Special Payment request form
Once You Raised Money:

 Schedule an appointment with the financial coordinator to calculate all the proceeds
 Bring the proceeds to the Office of Student Development and Campus Activities
 Complete a deposit slip
Once the Money is submitted for Deposit:
The proceeds and the deposit slip is submitted to the Financial Coordinator
The Financial Coordinator submits the deposit to OSA to be deposited into the
organization agency account
 Financial Coordinator submits the special payment with the letter from your
organization and a copy of the deposit slip for signatory. Once signed, the form is sent to
accounts payable for processing
Fundraising Restrictions:







No direct monetary donations from Student Activity Fee are permitted
All proceeds must be donated to the approved charity
SAF funded fundraisers are limited to one fully sponsored event per club
Bake Sales are not funded by SAF
All proceeds must be counted on the day of the event unless the event occurs at night.
For night events, the student organization can submit the proceeds the next day to the
Financial Coordinator
Please refer to the Fundraising process packet for any additional information. The
packet is in the appendix.
12
Special Payment Request
Remember: This form is used for purchases over $100.00
Step 1: Complete a special payment request form found on OrgSync.
Step 2: Attach a copy of the original receipt, flyer of the event, and credit card statement (if
necessary, invoice from vendor.)
Step 3: If the vendor is new, the student organization must provide a vendor update form along
with a W-9 form from the vendor.
Step 4: Submit a payment request on orgsync with payment type as Student Reimbursement.
Step 5: Submit the Special Payment form with all of the necessary paperwork to SDACA.
FYI… Special Payment forms are used for reimbursements, charitable donations, etc.
13
Journal Vouchers
Step 1: For organizations such as Legend, WPUB, Pace Press, etc., you are required to provide
invoices to departments for services requested.
Step 2: If collaborating with another department within the University for an Event that
required funding from multiple parties, the Financial Coordinator must receive an email
confirmation.
The email must detail the following information: The name of the department,
name of the event, name of the organization they are collaborating with, amount
of funding the department is contributing, the amount of funding the student
organization is contributing, department contact for the event, and the account
and index codes for the journal voucher.
Step 3: Complete a Journal Voucher and attach the following documents:
The flyer of the event.
Copies of the receipts and/or invoices for the event
14
Travel and Expense Reimbursement
Step 1: Complete the form from orgsync. Please make sure you provide your U number.
Step 2: Attach all original receipts, flyer and credit card statement. (Credit card statement if
purchase was made with a credit card.)
Tape all receipts to a blank white page and place in the correct order by date.
If you are requesting a reimbursement for a payment of a group of people, please provide
the list of students with their full name, U number, phone number, and pace email.
Step 3: Input payment request on orgyync for review and approval by SDACA with the payment
type as student reimbursement.
Remember: Travel Reimbursement takes 4-6 weeks to process.
15
Gift Card Process
Directions:
Each organization must complete the following steps for each event to distribute gift cards. If
each step is not completed, then the Office of Student Development and Campus Activities will
not distribute gift cards to the recipients.
Gift Card Requirements:



2.0 QPA
full-time undergraduate student 12 Credits or more
Graduate Students are NOT eligible
***If a student is ineligible to receive the gift card then the gift card will not be distributed.
Gift Card Request Process:
Complete a gift card request form and attach the form to the organization budget.
Once the event occurs, complete and submit the recipient form 48 hours after the
event. All the information must be completed.
 All recipients QPA and registration will be checked prior to receiving a notification email
for the pickup of the gift card.
 The recipient will receive an email confirming date and time to pick up the gift card.
 Upon receiving the gift card, the student is required to provide their Pace University ID
and sign the gift card pick up form.
 The Office of Student Development and Campus Activities will process all request within
7-14 business days, if all paperwork is completed in a timely fashion.
Please Note: All student organizations are allowed a maximum of $500 for up to two events,
as per the Student Activities Fee Guidelines.


All forms must be submitted to the Office of Student Development and Campus Activities and
must be typed. If the form is not typed, it will NOT be accepted. The organization must submit a
payment request for the amount of the gift cards on orgsync for processing.
If you have any questions regarding this process, please contact the Office of Student
Development and Campus Activities at campusactivities@pace.edu or call at 212-346-1590.
Please refer to the gift card process packet for any additional information. The
packet is in the appendix.
16
Conference Process
Directions:
An organization can attend a conference off-campus or host a conference on-campus. The
maximum amount a student organization is eligible for a conference is $5,000. The organization
must be active for two consecutive semesters prior to being eligible to request funding for a
conference. The organization can attend a domestic conference off-campus. For organizations
interested in hosting a conference at Pace University, the organization must reimburse 75% of
all proceeds back into the Student Activities Fee.
Conference Requirements:



2.0 QPA
Full-time student with at least 12 credits or above
Graduate Students are NOT eligible
Conference Process:






Submit a conference budget on orgsync and in the Office of Student Development and
Campus Activities prior to the deadline provided by the Budget Allocation Council.
Complete an Attendee Information Form and submit the form as an attachment to the
budget.
Once the budget is approved and all the attendees have been confirmed, complete a
waiver liability and a commitment form for each attendee.
Schedule a meeting with the Financial Coordinator four weeks prior to the conference to
confirm Registration, Hotel, and Transportation.
Submit the following paperwork upon return.
o Boarding Pass for both directions
o Booklet of the Event
o All original receipts
Complete Travel and Expense Reimbursement Form and attach necessary documents.
(If Necessary)
***Please Note: Student Activities Fee do not reimburse students for food purchases while
attending a conference. If reimbursements exceed the initial amount allocated by BAC, the
remaining reimbursement must be paid through the agency account. If the organization do not
have any funds in the agency account, then the Office of Student Development and Campus
Activities is not responsible for reimbursing student or students that attended the conference.
Please refer to the Conference process packet for any additional information. The
packet is in the appendix.
17
Contracts
Types of Contracts
Master Vendor Agreement
Co-Sponsor Agreement
Speaker Artist Performer Contract
Speaker Artist Performer Rider
Step 1: Submit a payment request on orgsync with the payment type as contract. Please upload
the speaker, artist, performer biography and invoice to the payment request.
Step 2: The Financial Coordinator of SDACA will develop and determine which contract will be
used for specific events.
Step 3: Each speaker, artist, or performer must sign a speaker or artist agreement, workers
compensation exemption, and provide an invoice for the event.
Step 4: The speaker, artist, or performer must email or submit the signed agreement to the
Financial Coordinator for processing.
Step 5: After processing the paperwork, the student organization will be notified via OrgSync
regarding approval.
Step 6: All payments will be made 4-6 weeks after services have been rendered.
18
Appendix
1.
2.
3.
4.
5.
Purchase Requisition
New Vendor Update Form
Fundraising Packet
Gift Card Packet
Conference Packet
19
Purchase Requisition Form
Please Note: All purchases are made with the Financial Coordinator of Student Development
and Campus Activities. All purchase requisition forms must have a quote or invoice attached. All
Purchase Requisitions must be submitted at least 3-4 weeks prior to date required.
Name of Requestor:
___________________________________
Date of Request:
___________________________________
Date of Delivery:
(date merchandise is needed):
___________________________________
Organization Name:
________________________________
Name of Vendor:
________________________________
Vendor Representative Name: ________________________________
Representative Email Address: ________________________________
Representative Phone Number: ________________________________
Description:
(Event Name/Title, Date of Event)
___________________________________
___________________________________
Do you require a Tax Exemption (Please circle one)
Please circle one of the following:
Student Activity Fee
Agency Account
Yes
or
No
PromotionalConference Carpe Diem
Please provide the following information: Total Price: ______________
Item Name: _________________________ Item Number: _______________
Quantity:
_______________
Additional Fees such as Shipping and Imprint:
Unit Price:
_______________
_________________________
20
New Vendor Update Form
SEND TO SECURE FAX LINE: (212)346-1916
* Indicates the Required Field
(PLEASE PRINT CLEARLY)
SSN:
Federal ID: *
Corporation/ *
Company Name:
Company Type: *
PO Delivery Preference: *
1099 Vendor? *
Does your company
participate in eprocurement? *
Alumni Owned
Employee Owned
Minority Owned
Small Business
State
Contract Dealer
Individual
Manufacturer Retailer
Partnership Incorporated
By Fax
By Email
By Mail
Yes
No
Yes
No
If YES, enter e-procurement contact information:
E-procurement Name:
Email Address:
Telephone Number:

Area code:
Phone:
Ext:
Area code:
Phone:
Ext:
Area code:
Area code:
Phone:
Fax:
Ext:
Primary Contact:
Name: *
Email Address: *
Telephone Number: *
 Mailing Address:
Address 1: *
Address 2:
City: *
State: *
Zip Code: *
Country: *
Telephone: *
Fax: *
21
Fundraising Packet
Fundraising Process:
Attach the Fundraising Request form to the budget if an event is designated as a
fundraiser
 Letter from your organization indicating the amount collected to donate to the
organization
 Completed new vendor update form (if necessary)
 W-9 Form of charitable organization
 Completed Special Payment request form
Once You Raised Money:

 Schedule an appointment with the financial coordinator to calculate all the proceeds
 Bring the proceeds to the Office of Student Development and Campus Activities
 Complete a deposit slip
Once the Money is submitted for Deposit:
The proceeds and the deposit slip is submitted to the Financial Coordinator
The Financial Coordinator submits the deposit to OSA to be deposited into the
organization agency account
 Financial Coordinator submits the special payment with the letter from your
organization and a copy of the deposit slip for signatory. Once signed, the form is sent to
accounts payable for processing
Fundraising Restrictions:







No direct monetary donations from Student Activity Fee are permitted
All proceeds must be donated to the approved charity
SAF funded fundraisers are limited to one fully sponsored event per club
Bake Sales are not funded by SAF
All proceeds must be counted on the day of the event unless the event occurs at night.
For night events, the student organization can submit the proceeds the next day to the
Financial Coordinator
22
EVENT DETAILS
NAME OF ORGANIZATION:
________________________________________
NAME OF EVENT:
________________________________________
DATE OF EVENT:
____________ TIME OF EVENT:______________
LOCATION OF EVENT:
________________________________________
LOCATION APPROVAL DETAILS
APPROVED LOCATION:
_______________________________________
APPROVED DATE:
________________ APPROVED TIME: ________
SDACA REPRESENTATIVE INTLS: ___________________
CHARITABLE ORGANIZATION INFORMATION
NAME OF ORGANIZATION:
___________________________________
DESCRIPTION OF ORGANIZATION:
___________________________________
___________________________________
ADDRESS OF ORGANIZATION:
___________________________________
___________________________________
TELEPHONE NUMBER OF ORG:
___________________________________
CONTACT INFORMATION OF ORG REP: ___________________________________
___________________________________
STUDENT CONTACT INFO
NAME:
___________________________________
U NUMBER:
___________________________________
PHONE NUMBER:
___________________________________
EMAIL ADDRESS:
__________
23
24
Gift Card Process
Directions:
Each organization must complete the following steps for each event to distribute gift cards. If
each step is not completed, then the Office of Student Development and Campus Activities will
not distribute gift cards to the recipients.
Gift Card Requirements:



2.0 QPA
full-time undergraduate student 12 Credits or more
Graduate Students are NOT eligible
***If a student is ineligible to receive the gift card then the gift card will not be distributed.
Gift Card Request Process:
Complete a gift card request form and attach the form to the organization budget.
Once the event occurs, complete and submit the recipient form 48 hours after the
event. All the information must be completed.
 All recipients QPA and registration will be checked prior to receiving a notification email
for the pickup of the gift card.
 The recipient will receive an email confirming date and time to pick up the gift card.
 Upon receiving the gift card, the student is required to provide their Pace University ID
and sign the gift card pick up form.
 The Office of Student Development and Campus Activities will process all request within
7-14 business days, if all paperwork is completed in a timely fashion.
Please Note: All student organizations are allowed a maximum of $500 for up to two events,
as per the Student Activities Fee Guidelines.


All forms must be submitted to the Office of Student Development and Campus Activities and
must be typed. If the form is not typed, it will NOT be accepted. The organization must submit a
payment request for the amount of the gift cards on orgsync for processing.
If you have any questions regarding this process, please contact the Office of Student
Development and Campus Activities at campusactivities@pace.edu or call at 212-346-1590.
25
Gift Card Request Form
Please Note: You must attach this form to each event your organization is requesting gift cards
for within your budget.
Name of Organization:
_______________________________________
Event Title:
_______________________________________
Event Date:
_______________________________________
Type of Gift Card:
_______________________________________
If variety of gift cards please outlines the information below:
Gift Card Name
Amount of Card
# of Cards
1.
2.
3.
4.
5.
___________
___________
___________
___________
___________
_______
_______
_______
_______
_______
_________________________
_________________________
_________________________
_________________________
_________________________
26
Gift Card Recipient Form
Name of Organization:
________________________________________
Event Title:
________________________________________
Event Date:
________________________________________
List of Recipients:
***Please be advised: Shaded area is for SDACA use ONLY!
***ALL GIFT CARDS MUST BE PICKED UP IN THE SAME SEMESTER YOU WERE
SELECTED TO WIN THE GIFT CARD. IF NOT, YOU WILL NO LONGER BE
ELIGIBLE TO RECEIVE THE GIFT CARD.
Name
U
Pace Email
Number Address
Name of Gift Card
Amount of
Gift Card
Enrollment
QPA
Picked
Check Up
27
Conferences Process
Directions:
An organization can attend a conference off-campus or host a conference on-campus. The
maximum amount a student organization is eligible for a conference is $5,000. The organization
must be active for two consecutive semesters prior to being eligible to request funding for a
conference. The organization can attend a domestic conference off-campus. For organizations
interested in hosting a conference at Pace University, the organization must reimburse 75% of
all proceeds back into the Student Activities Fee.
Conference Requirements:



2.0 QPA
Full-time student with at least 12 credits or above
Graduate Students are NOT eligible
Conference Process:






Submit a conference budget on orgsync and in the Office of Student Development and
Campus Activities prior to the deadline provided by the Budget Allocation Council.
Complete an Attendee Information Form and submit the form as an attachment to the
budget.
Once the budget is approved and all the attendees have been confirmed, complete a
waiver liability and a commitment form for each attendee.
Schedule a meeting with the Financial Coordinator four weeks prior to the conference to
confirm Registration, Hotel, and Transportation.
Submit the following paperwork upon return.
o Boarding Pass for both directions
o Booklet of the Event
o All original receipts
Complete Travel and Expense Reimbursement Form and attach necessary documents.
(If Necessary)
***Please Note: Student Activities Fee do not reimburse students for food purchases while
attending a conference. If reimbursements exceed the initial amount allocated by BAC, the
remaining reimbursement must be paid through the agency account. If the organization do not
have any funds in the agency account, then the Office of Student Development and Campus
Activities is not responsible for reimbursing student or students that attended the conference.
28
ATTENDEE INFORMATION FORM
LIST OF ATTENDEES:
***SHADED AREA IS FOR SDACA USE ONLY!
NAME
DATE
OF
BIRTH
U
NUMBER
PHONE
NUMBER
PACE EMAIL
ADDRESS
ENROLLMENT
QPA
CHECK
29
CONFERENCE COMMITMENT LETTER
I, ____________________, (Print Name) acknowledge that I was approved to attend a
Conference funded by the Student Activities Fee of Pace University. I understand, if I am unable
To attend the event, I will notify the Financial Coordinator three weeks prior to the event. If I do
Not notify the Financial Coordinator within three weeks, I am responsible for all booking fees
And must reimburse the total amount allocated back into to the Student Activities Fee Account.
In addition, I am aware that I am able to attend only ONE conference per academic year funded
By the student activities fee.
_______________________
___________
Signature Student Name
Date
30
WAIVER OF LIABILITY FORM
To:
Pace University
One Pace Plaza
New York, New York 10038
I, _________________________ (Print Name)
currently resides at __________________________________________________.
In consideration of my being permitted to participate in the ______________________
in __________________________ currently scheduled for ________________. I
hereby agree to assume all the risks and responsibilities attendant to my participation in the
event and any activities, including transportation, undertaken as an adjunct thereto; and
further, for myself, my heirs and personal representatives, I hereby agree to defend, hold
harmless, indemnify and release forever, and forever discharge Pace and all its trustees, officers,
employees, and agents from and against any and all threatened and imposed claims, demands,
and actions or causes of action, on account of damage to personal property, or personal injury,
or death which may result from the my participation in the aforesaid participation and
transportation activities. I hereby authorize Pace, through and by its authorized agents, to
secure for me any necessary emergency medical treatment. By my signature, below, I hereby
certify that I have read and fully understand the terms of this Release, Consent, and Waiver.
__________________________________
Date
Participant Signature
______________________________________
Date
Parent or Guardian Signature (if Participant is under age 18)
Name and phone number to call in case of emergency:
Name
Telephone No.-Work
_________________
Telephone No.-Home
31