College-Wide Student Activities Request
Sponsoring Club/Organization/Group: _
Club President/Student Rep Name: Club President/Student Rep Signature: _
Sponsor Name: Sponsor Signature:
Activity:
Date: _ Time: Location:
A. Activity Request (Attach itemized budget and additional documentation as needed. Do NOT commit to purchases until appropriate
administration level of approval has been obtained and required documents completed.)
Description of Activity:
Total Cost:
B. Fundra
ising (Attach additional documentation as needed. Requires Cabinet level approval.)
Purpose:
Procedure:
C. Funding
Request (Attach itemized budget and additional documentation as needed. Do NOT commit to purchases until appropriate
administration level of approval has been obtained and required documents completed.
Description of Items:
Total Cost:
*Clubs\organizations are responsible for submitting all work orders and/or set-up for their activity. Work orders are required for chairs,
tables, podium, easels, portable whiteboard, PAsystem, projector/ screen, security/police, and janitorial services.
Student Government Association President Date
_
Student Life Coordinator Date
Campus Associate Provost Date
_
Campus Provost Date
Dr. Sandy Handfield, Associate Vice President, Academic Services Date
_
Richard Laird, Vice President, Operations Date
_
Dr. Linda Miedema, Vice President, Academic Affairs/CLO Date
Index: 259025
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