SAFAC Funding Proposal: to be submied 3 weeks prior to proposed event
Organizaon:
Student Representave:
Cell Number:
Date Submied:
E-mail: @mail.roosevelt.edu
Advisor E-mail:
Name of Event: Event Date: Conrmed Locaon:
Start Time: End Time: Co-Sponsor Organizaon (if applicable):
Ancipated Aendance: Will your event have aendants other than Roosevelt students? YES NO
Program Descripon:
Program Go
als (Minimum of 3):
1.
2.
3.
Funding Amount Requested: $ Esmated Amount of Funding from Other Sources: $
Please list items you are requesng in the spaces below. Please provide a detailed list of items including (if applicable) speaker
fees, items for reimbursement, catering menu items and quantity, etc. Please be specific and attach itemized budget, invoice,
contract , or additional documents as needed. Please list set-up and ATS needs on the back of this form.
ITE
M
Dollar Amount
Tota
l: $
Direcons and funding proposal details can be found in the Student Organizaon Resource Manual. You are responsible for
reading direcons and being aware of all terms associated with funding.
Organizaon President Signature: Date:
Organizaon Advisor Signature: Date:
DOES EVENT REQUIRE CONTRACT Y / N
DOES EVENT REQUIRE ATS Y / N
HAS GROUP MET WITH CLUSTER ADVISOR Y / N
WILL EVENT HAVE ATS FEE Y / N
FOR SAFAC USE ONLY
DATE REVIEWED: CLUSTER ADVISER:
