Application For Student Activity Fee Funds Fall 2013: Date Received
Application For Student Activity Fee Funds Fall 2013: Date Received
Complete Name of Organization (no initials) Presidents Name: MTSU Email: Advisors Name: MTSU Email: Does your organization have a University/Department account? If YES, what is that account number? Does your organization have an off-campus checking account? Yes No Yes No Phone: Phone:
Please note that allocations will be based upon the following priorities. Please refer to the guidelines included on this disk for additional information concerning student activity fee allocation procedures: 1. Established programs that are institutionally supported and recognized. These programs must be collaborative programs sponsored by student organizations and University departments designed to benefit the campus community. 2. A program and/or project that occurs on campus, which is educational in nature and is open and intended to be of service to the entire campus community. 3. A Program and/or project that occurs on campus which is non-educational and is available to the entire campus community. 4. Travel for competitions against students and/or teams from other colleges and universities; and student presentations at national conferences. 5. A program and/or project that occurs off campus and is open and intended to be of service to the entire campus community. 6. A comprehensive program and/or project which provides both educational and/or academic experiences designed to benefit the members of the sponsoring organization and/or National/regional conference to benefit the membership of the organization only.
TOTAL NUMBER OF DIFFERENT REQUESTS SUBMITTED: TOTAL AMOUNT OF ACTIVITY FEE FUNDING REQUESTED: $ Presidents Signature (Required): Advisors Signature (Required):
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Date Date
Attach a separate Activity Fee Request Form for each different Purpose of Request identified on the form. The request must be typed and specific. The request MUST be on the form provided and in the appropriate format. DEADLINE: Return One copy of all pages submitted to the STU 330 BY 4:30 P.M, September 18th, 2013. Applications returned without the appropriate signatures will not be accepted. For questions regarding activity fee requests please contact 898-5812, or visit our office in KUC 326-S.
x Room rate$
x Number of nights ) =
Total Requested:
Provide a complete and detailed description for each request. You must provide a justification for the request, date, location, description of who will benefit from the activity, program, conference, etc. Use the space below for your justification. If necessary, include only one additional page. You must include information about other funding sources and indicate whether the program is a fundraiser for the organization.