Student Group Funds Request Name Email Phone Name of Faculty Sponsor Email of Faculty Sponsor Name of Organization/Department Requesting Briefly describe the requesting organization, if not a School of Liberal Arts Department. * Request Title Date of Event Briefly describe your request. Please be sure to include the number of people the funds will impact, location of event, and how this will facilitate students actively putting their knowledge in the liberal arts in practice. * Total Amount Needed to Fund Event Enter numbers only in US Dollars. Amount Requested from the School of Liberal Arts Enter numbers only in US Dollars. Date Funds are needed Name of other organizations from which funds have been requested, the amount and current status of request. Requests from other organizations are highly recommended. Name of Account for Funds Transfer Number of Account for Funds Transfer If not funds transfer, please provide other payment information. By submitting this request, I certify the information I provided on and in connection with this form is true and correct to the best of my knowledge. I also understand that any false statements or deliberate omissions on this form may disallow my organization from future contributions. I agree to submit a post event report which includes no later than 30 days post event. Failure to submit a report may result in being barred from receiving future funds. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
