Russ Vision Meta-Engineering Funds
Student Competition and Project Support Request
Competition/Project Name:
Contact Person Information
Name
email
Date
Is this competition/project undertaken by a student organization? Y or N
If yes, provide the following information:
Organization Name
Advisor
Treasurer
Account # 080-8000-50010-UA500
Is this competition/project undertaken as part of a course? Y or N
If yes, provide the following information:
Course
Terms (Credits)
Instructor
Dept. Account #
-
-
-
-( )
Please describe the proposed activity.
Please describe past activity in this area including participation, funding and results.
Approximately how many students will be supported by this request? ________
Budget (Please attach an itemized budget)
Total Needed:
Organization/Department Contribution:
Requested Amount:
Signatures
Student:
Date
Advisor/Instructor:
Date
Treasurer/Chair/Director:
Date
Approval: _____________________________________________________ Date ______________________
Version 1.0 9/17/12