Student Group Request for AS Funds

Please fill out all applicable fields. You must be an officer of your organization to request funds

Organization

Organization Name
AS Account Number
OSL Account Number

Contact

Name
Position
Phone
Email

Operating Budget

Request Operating Budget I am requesting the $250 operating budget for my organization

Event Funding

Event Name
Date of Event Please use format '05/20/2007'
Total Budget $
Amount Requested $

Funding from Other Sources

If you have received funding from other organizations, please add them here. If you have applied for funding, but do not know the outcome; please put pending next to the amount.

Funding Source
Amount Received $
Equipment Used
Contact Name
Contact Email

Agreement

By checking the box below you are giving your digital signature, and agreeing to the terms stated.
I do hereby agree to be held fiscally accountable for any associated students funding should it be granted.