Fillable Student Life Fee Assistance Request Form (Louisiana Delta Community College)

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Student Life Fee Assistance Request Form (Louisiana Delta Community College)

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The Student Life Fee Assistance Request Form (Louisiana Delta Community College) form is 1 page long and contains:

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Country of origin: US
File type: PDF

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_____________________________________________________________________________
_____________________________________________________________________________
Student Life Fee Assistance Request Form
Name of Club/ Organization: ___________________________________________________
Program/ Outreach Title: ______________________________________________________
Date of Program/ Outreach: ____________________________________________________
Location of Program/ Outreach: _________________________________________________
Expected Number of Attendees: _______ Program/ Outreach Start Time: ________
Purpose of Program/ Outreach:
Items Needed for Program/ Outreach:
Contact Person: ______________________________________________
Amount Requesting: __________________________
Signature of Applicant: ________________________________________
Date of Application: __________________________
Committee Use Only
___ Approve ____ Deny Amount Approved: ________
Student Activities Assistant: ___________________________________ Date: ______________
Signature of Committee Chair: __________________________________ Date: ______________
Signature of Executive Director: _________________________________ Date: ______________
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Student Life Fee Assistance Request Form (Louisiana Delta Community College)

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Completed 16 September 2020

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