_______________________________________ ___________________________________________
CHANCELLOR DIRECTOR
Date:_______________
Louisiana Delta Community College Foundation, Inc.
Funding Request
The LDCC Foundation is pleased to support the college, its faculty and staff with funding to help maintain excellence in academic and
workforce education. Please note that there is a two-step process in requesting assistance from the Foundation.
Step 1: Funding Request-For approval of funds BEFORE event
Step 2: Check Request: For a payment AFTER approved
a. Please follow state guidelines if requesting funding to travel.
b. Submit this request and supporting documentation (i.e. trip
request, agenda, fees schedule) for review.
c. Please submit request to Foundation at least 30 days before event
a. Attach approved travel request, related event receipts to
Foundation Check Request form and forward to Foundation.
b. For Pre-payments (i.e. registration/conference fees) please indicate.
PLEASE NOTE: To allow adequate time for review and processing, please submit request to Missy Amy, Office of
Institutional Advancement at melisaamy@LaDelta.edu at least 30 days prior to event.
Requesting Agent: _______________________ Department: ____________________________
Request Date: ___________________________ Registration Deadline Date: ________________
Amount: _______________________ Department Head Approval: ________________________
Project Title: ___________________________________________________________________
Brief Description of the Project: (attach supporting documentation if available)
Benefits to LDCC: (school; students; faculty; staff or programs)
Expected Outcomes:
Project Budget: (If applicable, please provide line item expenses or attach project budget to this request)
LDCC Foundation Use only: Amount Approved: $
___________________
Funding: ______ APPROVED ______ NOT APPROVED ______ MORE INFORMATION REQUIRED
