Fund-Raiser/Donation
Request Form
This form is used to request fund-raising efforts for all Student Life supported programs. Worksheets must be submitted to the
Office of Student Life at least four (4) weeks in advance of the event. If you have any questions, please contact Robert Lane –
rlane2@spscc.edu or 360-596-5217.
EVENT TITLE: ____________________________________________ DATE(S)/TIME(S):
EVENT DESCRIPTION:
STUDENT GROUP NAME: ___________________________________
REQUE
STOR NAME: PHONE:
REQUESTOR EMAIL:
☐ On Campus ☐ Off Campus Proposed Location
Type of Fundraiser ☐ Event/Admission ☐ Sale of Goods ☐ Donations ☐ Other
Description:
WILL YOU NEED A CASH BOX? ☐ Yes ☐ No (If Yes, Please see attached Cash Box request)
PROCEEDS PURPOSE: _______________________________________________
Expected Total Revenue: $______ Expected Total Expenses: $_________
Seed Money:
• The money used (from the S&A budget) to pay for expenses of a fundraiser will be deducted from the total amount raised
at the end of the fundraiser
• Any remaining balance will be placed in the clubs S&A account and be used the current year or carried forward to the next
fiscal year
Donations:
• To be considered a true donation, you must be able to allow any person to participate without paying, no suggested
donation amount posted or identified and your donation collection must be clearly stated to where the money will be going.
We will still work with you to track all donation for state regulation purposes.
It is state law that all revenue raised from a fund-raiser be deposited within 24 hours of the actual collection of the revenue. For
events spanning over multiple days, daily deposits will be set up with the Office of Student Life. Any exception to this must be
approved by the Director of Student Life or Dean of Student Engagement.
If receipts for deposit is missing, the club/org has five business days to submit missing receipts. *If the receipts is not turned in within
five business days, appropriate action will be taken, which may include debiting the funds and lapsing them into the S & A
Contingency Fund
I have read Student Life fund-raising procedures for the types of fund-raising checked above, understand I am responsible
for complying with these procedures, and understand the consequences for nonadherence to college and state laws
regarding fund-raising.
ADVISOR NAME SIGNATURE Date:
The above form has all supplemental documents and students/advisors and director have a clear understanding of what type of
fundraiser is occurring.
Director of Student Life Date:
I have reviewed the above form, along with any supplementary forms to ensure that this fundraiser is permissible and in
alignment with SPSCC’s guidelines along fund-raising and solicitation.
Dean of Student Date:
Engagement and Retention
click to sign
signature
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