Cerritos College DEEOAC
Request for Funds 2016-2017
REQUEST
AMOUNT OF TOTAL REQUEST
Requester's Name
Requester's Phone/Email
Event Name
Proposed Location(s)
Number of participants expected
Who is your audience (students, staff, faculty, community members)?
Event Items
Description
Amount
Decorations
Equipment
Food
Performers
Speaker(s)
Printing
Publicity
TOTAL EVENT ITEMS EXPENSES
Clear Form
$ 0.00
$ 0.00
Travel Items
Amount
Rental/Mileage
Bus(ses)
Shuttles/Taxis
Air Fare
Meals
Lodging
Registration
TOTAL TRAVEL ITEMS EXPENSES
Other Items Not Included Above
Description
Amount
TOTAL OTHER ITEMS EXPENSES
$ 0.00
$ 0.00