Special Funding Application
The purpose of Special Funding is to assist organizations in paying for expenses, which may not necessarily be funded by Bear Grants. Such expenses include but are not limited to costly campus-wide events and unforeseen expenses. Special Funding is considered on a first-come, first-serve basis, is highly competitive, and is open to all organizations at Mercer University.
Organization Name (name that appears on the W-9 form on file)
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If you do not have a W-9 form on file or are unsure of what this form is, please do not fill out the rest of the funding request and contact organizationalaffairs@gmail.com for more information.
Does your organization have a checking account and is it on file with Campus Life?
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YES we have a checking account and YES it is on file with Campus Life
YES we have a checking account and NO it is not on file with Campus Life
NO we do not have a checking account
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Organization Information
Please fill out this table:
*
Rows
First and Last Name
Mercer Email
Phone Number (with area code)
President
Treasurer
Advisor
Membership Information
*
Please give a brief description of your organization and state the mission of your organization as well.
*
What fundraising events has your organization completed in the past and/or what events does your organization plan on completing? How much money did your organization make from fundraising in the previous year?
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Does you organization have any reusable items in your club's inventory? If so, what are they?
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Please list all items that have been purchased using SGA funding in previous years and are still being used by your organization. Such items include but are not limited to electronics, costumes, books, kitchen items, and other tools. If your organization has no such items, respond "None".
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Event Information
Event Name
*
Event Date
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected Number of Participants
*
Please give a brief description of the event.
*
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Line Item Requests
Please provide each individual item you are requesting. Be as detailed as possible in providing the breakdown for the allocation of funds under each line item. As an example, if you are requesting funding for a tablecloth, please provide a link along with how much the tablecloth would cost.
Example Line Item:
30 tablecloths - $30 ($1 each) (link for tablecloths) 10 packs of streamers - $20 ($2 per pack) (link for streamers) 2 extension cords - $30 ($15 per cord) (link for cords)
Example Amount Requested
Line Item 1
Line Item 1 - Amount Requested
Line Item 1 - Amount Approved
Line Item 2
Line Item 2 - Amount Requested
Line Item 2 - Amount Approved
Line Item 3
Line Item 3 - Amount Requested
Line Item 3 Amount Approved
Line Item 4
Line Item 4 - Amount Requested
Line Item 4 - Amount Approved
Line Item 5
Line Item 5 - Amount Requested
Line Item 5 - Amount Approved
Line Item 6
Line Item 6 - Amount Requested
Line Item 6 - Amount Approved
Line Item 7
Line Item 7 - Amount Requested
Line Item 7 - Amount Approved
Line Item 8
Line Item 8 - Amount Requested
Line Item 8 - Amount Approved
Line Item 9
Line Item 9 - Amount Requested
Line Item 9 - Amount Approved
Line Item 10
Line Item 10 - Amount Requested
Line Item 10 - Amount Approved
Total Amount Requested
*
Submit
Organizational Affairs Information
Financial Advisor
Advisor's Slate
Organizational Affairs Committee Meeting Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Organizational Affairs Amendments, Suggestions, and Comments
Amount Approved (in Committee)
Committee Chair Signature (in committee)
Senate Information
Senate Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Senate Amendments, Suggestions, and Comments
Amount Approved (in Senate)
Committee Chair Signature
Should be Empty: