Fundraising Request
Sponsoring Club/Group: _______________________________________________________________________________________
Student Representative Name: __________________________ Student Representative Signature: ___________________________
Sponsor Name: _______________________________________ Sponsor Signature: ________________________________________
Description of Fundraiser
Purpose of Fundraiser:
Duration of Fundraiser: _______________________________ Method of Fundraising: ___________________________________
Monetary Goal: ______________________________________ Target Audience: ________________________________________
Total Cost: _____________ Funding provided by Club/Group: _____________ Funding requested of SGA: _____________
Will the start-up funds be returned after the fundraiser? ______ Yes ______ No
Financial Management (All fundraising requires the use of a college agency account to handle finances)
Does the club/group have an agency account? ______ Yes ______ No
If yes, provide index number: ______________________
If no, select an option: ______ Open an agency account ______ Use a campus agency account
**If the fundraiser includes tabling or an event, please complete the following Fundraising Activity Request.**
Fundraising Activity Request (Attach itemized budget and additional documentation as directed)
Activity: ___________________________________________ Date(s): ______________________________________________
Time(s): ___________________________________________ Location(s): ___________________________________________
Description of Fundraising Activity:
Note: If clubs/groups are requesting funds from SGA when they already have funds in an agency account, a budget breakdown
must be attached explaining the intended allocation of those funds.
______________________________________________________ ____________
Student Government Association President Date
______________________________________________________ ____________
Student Life Coordinator Date
______________________________________________________ ____________
Associate Provost Date
______________________________________________________ ____________
Provost Date
______________________________________________________ ____________
Vice President, Operations Date
______________________________________________________ ____________
Vice President, Academic Affairs/Chief Learning Officer Date
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit