Revised 4/27/2020
Club Name
Date of Club Meeting
(Please attach club agenda/minutes)
Motion (Authorization to spend club funds): _____________________________
moves to approve expending club funds for an
amount up to $____________________ OR exactly $________________________
to ______________________________ for _______________________________
(Describe the expense purpose,
eg.
purchase of
supplies)
(Describe the activity/event,
e.g. club meeting)
Motion Seconded by: __________________________
(Student Club Member’s Name)
Aye: __________ (number of supporting members)
Nay: __________ (number of opposing members)
Abstain: __________ (number of abstaining members)
Decision on Motion: Pass Fail
When authorization amount is for $600 or more, please complete the following:
Roll Call-Club Member's Name (First and Last Name) and Vote - Aye, Nay, or
Abstain (Use drop down menu as needed)
1.
11.
2.
12.
3.
13.
4.
14.
5.
15.
6.
16.
7.
17.
8.
18.
9.
19.
10.
20.
Advisor in Attendance: __________________ _____________________ ________
Print Name Signature Date
THIS FORM WILL BE RETURNED TO YOU IF YOU SUBMIT IT WITHOUT AN
ASB DISBURSEMENT REQUEST FORM, REQUIRED SIGNATURES, ORIGINAL
ITEMIZED RECEIPTS, AND CLUB MEETING MINUTES.
CLUB AUTHORIZATION TO SPEND FUNDS
LAS POSITAS COLLEGE STUDENT GOVERNMENT (LPCSG)
INTER-CLUB COUNCIL (ICC)
(Student Club Member’s Name)
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