Student Club & Organization Funding Request
Club Name:
37… Account Number:
2018- 2019 Anticipated Costs (should not exceed $500.00)
*For each activity you have planned that will require funding, please complete a separate Activity
Description section.*
1. Activity Description:
Does this activity include travel?
Are any associated costs listed below for fundraising purposes (e.g. to purchase food for sale)?
Associated Costs (Add lines as needed):
1) Cost:
2) Cost:
3) Cost:
Total Cost: Club Contribution:
Amount Requested:
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2. Activity Description:
Does this activity include travel?
Are any associated costs listed below for fundraising purposes (e.g. to purchase food for sale)?
Associated Costs (Add lines as needed):
1) Cost:
2) Cost:
3) Cost:
Total Cost: Club Contribution:
Amount Requested:
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Campus Wide Activity Description to be hosted during the 2018-19 academic year:
