PSGA Special Funding Request

PSGA Special Funding Request
Special Funding Requests are due at least three weeks prior to the event.
Your Name (or Contact Person if Different)*
First NameLast Name
Contact Park ID#*
Contact Phone Number*
Area CodePhone Number
Contact E-mail*
Full Time Organization Advisor Name*
First NameLast Name
Full Time Organization Advisor E-mail*
I am applying for: *
A Personal RequestA Student Organization

The Project Information
Name of Special Project*
Date and Time of Special Project*
MonthDayYearHourMinutesAM/PM Option
Location of Special Project*
Description of Special Project (if attending a conference, please email an agenda separately to senate@park.edu*
Amount Requested for Special Project*
Number of Undergraduate Students Expected to Attend*
Amount per Undergraduate Student*
Total Lodging Costs*
Lodging Amount per Undergraduate Student*
Total Transportation Costs*
Transportation Amount per Undergraduate Student*
Method of Transportation*
Registration Fee Amount per Undergraduate Student*
Other Costs (costs have to be specified and CANNOT be labeled as miscellaneous or include meals)*
Total Cost of Special Project*
Total Cost Per Undergraduate Student*
Have you done any fundraising to help fund this project? How much money have you raised?*
Upload your annual budget plan. Please provide a detailed revenue and expenditure report.*
Upload your budget plan for this event. Please provide a detailed revenue and expenditure report.*
Please list the names and ID numbers of those who are attending this special project: *
How will the Park University Student Body benefit from this project?*
Additional Comments*
Your special funding request will be processed within 48 hours and a member of the PSGA Budget Committee will contact you about setting up a meeting. It is required that a member of your organization meet with the Budget Committee and also be present during the PSGA General Assembly meeting when your request is voted upon.
After your special project is completed, you must submit an expenditures report and summary of the event. This must be done before you can request a club allocation or special funding in the future.
Post Conference follow up
Would you be willing to make a post on social media about receiving help from PSGA?*
YesNo
If no, please explain why?
Can PSGA make a post featuring your (club's) trip on our social media account?*
YesNo
If no, please explain why?
Should be Empty:

PSGA Special Funding Request

Your Student Organization

Post Conference follow up