Student Organization Additional Funding

Student Organization Additional Funding

Please note that any information provided or statements made on this form are subject to the Student Honor & Conduct Code. Please verify that all information is accurate before submitting this form. This form must be completed by the organization's treasurer after reading the student organization funding rules. ** To ensure the fair and equitable distribution of funds among all student groups, funding is capped at $1,000 per event hosted by a single student organization and $1,500 per event hosted by multiple student organizations.
Basic Information
Treasurers full name*

First NameLast Name
Treasurers email*
example@example.com
Organization name*
Organization email*
example@example.com
Baseline Allocation Fund
Did your group request and receive a baseline allocation of funds this school year?*

YesNo
How did you use these funds or how do you plan to use these funds?
Other Funding Sources
Has your student organization received funds - or do you expect to receive funds - from any other source this budget year? (donations, sponsorships, fundraising, rollover, etc.)*

NoYes
How much funding has your organization received? How did you use these funds or how do you plan to use these funds?
What other sources of funding has your student organization considered accessing, if any?
Has your student organization made any efforts to minimize the cost of your proposed event or expenditure?
Proposed Use of Supplemental Funds

Your student organization must describe the proposed use of supplemental funds in detail. The more information that your student organization provides, the better able the committee will be to assess your proposal.
The proposed date, or date range, of the event
The location of the proposed event
If your event is a speaker or panel discussion, please list the proposed speakers and the topic. For all other events, please provide a description of the proposed event or program (e.g., a student-led interviewing workshop to prepare for the NW Public Service Career Fair).
Is this a new event for your student organization, or one that your organization hosts regularly/annually (e.g., the annual OUTLAW Cabaret, NLG DisOrientation, WICL Career Fair Prep Workshop)?
Is this a new event for your student organization, or one that your organization hosts regularly/annually (e.g., the annual OUTLAW Cabaret, NLG DisOrientation, WICL Career Fair Prep Workshop)?

YesNo
What was the cost breakdown of the event last time?
(example: “The total cost for the event was $764. Of that amount, $492 was used for pizza, $120 for drinks, $82 for linens, and $70 for nametags and other event-related supplies.”
The estimated attendance at the event and the targeted audience
The estimated costs of your proposed event, broken down by item (for example: “$150 for drinks and refreshments for ten guests from Baja Fresh”)
Are you doing this event with another Student Organization?

YesNo
What are the names of the other Student Organization(s)?
If requesting funds for supplies or materials, please describe the purchase (item, cost, and quantity), note whether the benefit is one-time or ongoing, and provide any helpful context.
(example: “purchasing four yoga mats at $15/piece to be kept available in Gantenbein for the benefit of all students for an ongoing benefit to the studentbody”)
The total amount you are requesting:
How much are all groups collectively asking for this event?
Any additional information you would like us to know?
I understand that any funds that my student organization is awarded must be used solely for the purpose described on this form.*

I Agree
I understand that any excess funds remaining after awarded funds are used for the purpose described on this form must be immediately returned to the Office of Student Affairs. I agree to promptly notify the Office of Student Affairs of excess funds at lawstudentorgs@lclark.edu.*

I Agree
I understand that I cannot use any awarded funds for the prohibited purposes described in the student funding guide, including alcoholic beverages off campus, travel expenses, and uses that solely benefit individual students and/or are not made available on an equal basis to all students.*

I Agree
Should be Empty:

Student Organization Additional Funding

Basic Information

Baseline Allocation Fund

Other Funding Sources

Proposed Use of Supplemental Funds