OFFICE OF COLLEGE ADVANCEMENT AND SGA USE ONLY
Date Received by Student Government Association:_______________ Approved Denied Initials:_________
Date Received by Office of College Advancement:___________________ Approved Denied Initials:_________
Please refer to the Coordination Policy for additional details.
Request to Raise Funds Form
Student Government Association
Club Name: ________________________________________________________________________
Fundraiser Title: ____________________________________________________________________
Date and Time of Fundraiser: _______________________ Location: __________________________
Fundraiser Description: _______________________________________________________________
___________________________________________________________________________________
Primary Contact Information
Name: ______________________________ Phone: _____________________________________
Purpose of Fundraiser: _______________________________________________________________
___________________________________________________________________________________
Advisor Signature: _______________________ Club Treasurer Signature: ______________________
This form must be in within two weeks before the fundraiser. If participating in the Fundraising Incentive Program, form
must be in two weeks prior to fundraiser. All money raised through approved fundraising activities must be deposited
within one week of collecting the funds.
If asking for donations please include the organization and amount or materials asked for on a
separate piece of paper.
Would you like to participate in the Fundraising Kick-Off Program? : Yes No
If yes, list supplies needed along with quantity and price (SGA will cover items from your list within a $100 limit
for your club):
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
SGA can either purchase the items directly or reimburse the club (Disbursement Form needed).
Preferred choice: _____________________________________________
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