Eligibility:
Maximum
Award:
Purpose:
Criteria:
Restrictions:
Registered campus organizations or official student governments
The maximum award from this fund is $1,500 for any individual program. An organization that puts on multiple programs may submit an application for each of its eligible programs.
These funds will typically be awarded to offset facilities costs for on-campus programs that provide cultural education to the campus community or work to enhance the campus’ diversity
(e.g., culture shows, youth conferences, yield events, etc.).
Criteria for funding are content-neutral. To be eligible for funding, a program must:
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Be held on campus;
Be student-initiated and student-managed;
Provide a direct benefit to the UCLA community;
Demonstrate clear goals and thorough planning; and
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Adhere to University policies, campus regulations, and established procedures.
A significant number of UCLA students must be involved in planning and/or participating in the program.
Participation must be open to any interested UCLA student, without an admission fee.
To be eligible for funding, at least 70% of the audience/participants should be UCLA community members (i.e., students, faculty, staff, or other active BruinCard holders).
Funding is provided for specific programs/projects only; it is not provided to an organization as a general allocation.
No funding will be provided if alcohol is served at the program.

Prior to completing an application, please review the attached guidelines and restrictions
A limited amount of funding is available to assist registered campus organizations and official student governments in offsetting the costs of facilities required for their on-campus cultural and diversity programs.
This funding is intended to supplement other funds you have received in order to assist with a portion of the facilities expenses of student programs; it is not intended to fully cover all facilities costs, nor to fund other costs associated with your program/project. The maximum award will be $1,500.
All funding allocations are content-neutral. Funding is allocated to eligible programs on a first come, first served basis as applications are received.
Organizations are strongly encouraged to submit applications early in their planning process. A complete application must be received in the office of Student & Campus Life (1104 Murphy) not later than two weeks prior to the event or the application may not be considered for funding. Applicants will be contacted by e-mail at least one week prior to the event regarding a decision.
A completed application packet must include a completed Application (this form).
Estimates/Invoices should be attached to substantiate the budget.
Applications submitted without the signature of the organization’s CSP advisor will not be considered.
Check one box:
 Application for Cultural & Diversity Program Funding for a registered campus organization’s on-campus program
 Application for Cultural & Diversity Program Funding for a USAC on-campus program
 Application for Cultural & Diversity Program Funding for a GSA on-campus program
Name of student organization : _____________________________________________
Contact Person:
(This individual will receive notification of funding decisions by e-mail; must be a signatory for the group)
Student Name:
Local Telephone #: E-Mail Address:
CSP Advisor:
Name ___________________________ Phone # ______________________
Signature: ____________________________
Received: _________________________________
For S&CL Use Only
Action: ____________________________________
By: ______________________________________ Applicant Notified: ___________________________
By: ________________________________________
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Program/Event Overview
Program/Event Name:
Date & Time:
Location/Facility:
Are there any admission fees for this program?
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No
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Yes
If yes, are fees waived for UCLA Students with BruinCards?

No

Yes
Will alcoholic beverages be served at this program?
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No
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Yes
Please respond to the following items in the space provided
Participants & Audience:

UCLA Students
Estimated #:
Type of Participation:

UCLA Faculty/Staff
Expected #:
Description:

Others
Expected #:
Description:
Description of proposed program/event:
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Please respond to the following items in the space provided
How this program provides cultural education to the campus community and/or enhances the campus’
cultural diversity :
Your organization’s purpose and goals :
This Program’s purpose and goals, and how they are consistent with your organization’s goals :
Ways in which your program is likely to advance UCLA goals and interests:
Relationship of proposed program to other activities your organization has conducted and/or will conduct in the 2009-10 year:
3

Please respond to the following items in the space provided
How this program fits a unique need not met elsewhere on campus:
Scope and nature of student involvement in program design, planning and implementation:
Describe your organization’s experience producing similar programs in recent years:
What are the risks associated with this program/event? What steps have been taken to manage
those risks (e.g., training, background checks, insurance)?
How will this program/project be evaluated?
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NOTE: This funding is intended to assist with a portion of the facilities expenses of on-campus cultural/diversity programs initiated and managed by students. To receive funding, you must demonstrate that you have enough funding from other sources that this will be a viable program.
The maximum award will be $1,500.
Expenses
(List ALL program expenses, and attach copies of estimates from campus service providers )
Description
On-campus FACILITIES/Venue Costs – attach estimates.
(only these expenses will typically be funded from the Student Cultural & Diversity Programming Fund)
Billed through campus service providers (e.g., University Events Office/ASUCLA)
$
Amount
Other (Describe):
On-Campus Advertising (i.e., ASUCLA Student Media Publications)
Other Publicity, Advertising, and Graphic Services
Risk Education/Risk Management Expenses ( Describe in detail )
Disposable Supplies
Food/Meal Services for UCLA students
Food/Meal Services for other participants
Honoraria, Performance Fees, and Travel/Lodging
*Gifts/personal items for participants (e.g., T-shirts, flowers, awards etc.)
Other (Describe):
TOTAL PROJECTED EXPENSES:
* University funding may not be used to purchase gifts or other personal items.
Funding
Confirmed
Student Government/ASUCLA:
$
PAB (CPC):
Fund Raising/ Organization’s Contribution:
University Departments (List):
In-kind Sponsorships (Describe):
Other (Describe):
$ Total Confirmed Funding:
Pending
Student Government/ASUCLA:
PAB (CPC):
Fund Raising/ Organization’s Contribution:
University Departments (List):
In-kind Sponsorships (Describe):
Other (Describe):
Amount
Amount
$ Total Pending Funding:
TOTAL FUNDING CONFIRMED AND/OR PENDING:
$
$
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