ASSOCIATED STUDENTS OF FOOTHILL COLLEGE
12345 EL MONTE ROAD
LOS ALTOS HILLS
CA 94022-4599
Telephone: (650) 949-7281
Fax: (650) 941-4574
BUDGET REQUEST FORM
Fiscal Year 2013-2014
1. A. Name of Item/Program/Service: _________________________________
B. Date of proposal: _____________________________________________
C. Student representative: ________________________________________
Phone number: ______________________________________________
Email address: _______________________________________________
D. Permanent employee who will be responsible for maintaining the fund(s)
Printed name: ________________________________________________
Signature: ___________________________________________________
Phone number: _______________________________________________
Email address: _______________________________________________
2. A. Total amount requested in FY 2012-2013: $______________
B. Total amount granted in FY 2012-2013: $______________
C. Total amount being requested for FY 2013-2014: $______________
3. Please summarize the Department/Program/Service proposal.
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4. Please state how the funds would support the Associated Students of Foothill
College’s Mission Statement, Goals and Visions, attached.
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5. Explain and justify how these funds will serve present and future students.
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6. Describe any efforts to obtain funding outside of ASFC.
Rules regarding budget requests: In accordance with our Budget Commission
Code (adopted June 21, 2012), full or part time faculty, staff, or administrator of
the FHDA district are not allowed to make fund requests, regardless of whether
or not they have paid the student body fee. All programs seeking funds need to
have a student representative who will lobby on behalf of the program.
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ASSOCIATED STUDENTS OF FOOTHILL COLLEGE
12345 EL MONTE ROAD
LOS ALTOS HILLS
CA 94022-4599
Telephone: (650) 949-7281
Fax: (650) 941-4574
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
7. A. The estimated # of students that will benefit from this proposal: ________
B. Are there any benefits to students who hold the Owl Card (i.e. discounts)?
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9. Will this request be a one-time only expense? (Circle) YES NO
10. Please describe and list this service’s/group’s past accomplishments.
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11. Do you wish to present the proposal in person before the Budget Commission, even
though the commission may not require it of you? YES NO
12. Please attach any other relevant documents and materials to this form.
(Please use another sheet of paper to answer any of the above questions if you run
out of space.)
RETURN TO THE OFFICE OF STUDENT ACTIVITIES (Room 2009)
By Monday, November 26 at 12pm.
PLEASE GET A RECEIPT OF DEPOSIT FOR PROOF OF SUBMISSION
WHEN YOU HAND IN YOUR BUDGET REQUEST FORM
OFFICE USE ONLY
Received by: Date received:
Hearing date: Action taken:
Comments: