Student Organization Request for Contract
This is a request form for a contract, not the actual contract.
This form MUST be submitted no less than 4 weeks prior to the event.
No expenses should be incurred until the contract is fully executed.
Organization Information: ____________________________________________________________________________________________________
Organization Representative: __________________________________________________________________________________________________
E-mail: _______________________________________@Wooster.edu Phone Number: ________________________________________________
Payee Name: __________________________________________________________________________________________________________________
Check one: Performer Speaker Coach Instructor Other
Address: _______________________________________________________________________ City: __________________________________________
State: _________________ Zip Code: ____________________________________ Phone: ____________________________________________________
E-mail: ___________________________________________________________
Payment Information: *Payee name must match the name on the contract and substitute W-9.
Check payable to: _______________________________________________________ Total amount to be paid: $ _________________________
Event Title: ____________________________________________________________________________________________________________________
Event Date: _______________________________ Start Time: _______________________________ End Time: _______________________________
Location: ______________________________________________________________________________________________________________________
Description of what we want the payee to do: __________________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
Compensation (Include payment and expenses we are paying for ie. meals, hotel, transportation, mileage):
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
* May require multiple disbursement forms for payments to be processed. See Student Activities Office for more details.
Approval (Print Name, Sign Name, Date)
___________________________________________
Date: ________________
Treasurer: _____________________________________________
President (if over $50): __________________________________________
Advisor (if over $100): __________________________________________
____________________________________ Date: ________________
_____________________________________ Date: ________________
Co
-Sponsoring Organization/Department:
____________________________________________________________________________________
Amount/Details of what Co-Sponsor is covering: ______________________________________________________________________________
Co
-Sponsor Contact Name and Signature: ____________________________________________________________________________________
Student Activities Office Use ONLY:
Received: ________________ Processed (if dierent than received): _________________
□ Signed Contract
□ W-9 □ Disbursement Form(s)
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signature
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click to sign
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click to sign
signature
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click to sign
signature
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