CONFERENCE FUNDING REQUEST FORM

This form is to be filled out for each conference a club/organization attends and is handed in with the budget proposal. Included in its information is conference name, location, dates, estimated costs, and details of the conference.


Club/Organization Name:
 Student Officer Name:      
 Phone #:                                     Date of Request:
 Total Amount Requested:


CONFERENCE INFORMATION:

Conference Title:           
 Organization Hosting it:
                                          (Please NO acronyms - Spell it out.)
 Location of Conference:
 Dates of Conference: FROM: TO:

Estimated COST BREAKDOWN (if available)

Gas/Tolls:                             $ (  miles   $)
 Hotel:                                    $ (  nights  rooms    $)
 Meals:                                  $ (  days  people $  $)
 Registration Fee:                 $ (  per individual      people $)
 Transportation:                    $ (vehicle rental and/or  transportation fares)
 Other :         $

TOTAL Expenses:              $

DESCRIBE IN DETAIL THE PURPOSE OF THE CONFERENCE:

 


  



CONFERENCE INFORMATION:

'

Conference Title:
Organization Hosting it: 
(Please NO acronyms - SPELL IT OUT!!)
Location of Conference: 
Dates of Conference: FROM:                                TO:

Approval

Student Officer's Signature: _______________________________________ Date: ______________
Advisor's Signature: _______________________________________ Date: ______________

DATE RECEIVED: ____/____/____