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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
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