
Revised 07/03/17
Club Allowance Request
Club Information
Club Name:
Semester: Club Account #:
Advisor:
Advisor Email: Advisor Phone:
Club Check List
Semester Packet Submitted ($1000)
Club Registration Form
Club Roster
Club Advisor Application
Club Constitution
Operating Services: $
Operating Supplies: $
Professional Services: $
Travel: $
Budget Allocation
Total Budgeted:
Signatures
Club President:
Date:
Club Advisor:
Date:
Office Use Only
Programming Specialist Signature: Date:
Approved Not Approved
If Not Approved, reason:
Director of Student Life Signature: Date:
Approved Not Approved
If Not Approved, reason: