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Cultural Center Allocation Fund Request Proposal |
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1. Organization: President: Address: City: State: Zip: Phone/Cell: Email: Treasurer: Address: City: State: Zip: Phone/Cell: Email: |
| Advisor:
Department: Extension: Email: University Account Number: Fund: Department: Class: Program: Account: |
| 2. Program
Information:
Allocation Fund Mission Statement: The goal of the Cultural Center Allocation Fund is to provide funding to University cultural and ethnic organizations to promote one of America’s underrepresented cultures or religions. The activities funded must be designed to educate, inform, or enliven the sponsoring group and the University community at large and must be consistent with the aims, philosophy, and policies of the University and the Cultural Center.
Name of Program: Date: Beginning Time: Ending Time: Space Reserved: Expected Attendance: Speaker/Artist Information: Speaker/Artist Name: Social Security Number: Agency/Group Name: Contact Person: Address: City: State: Zip: Phone: Fax: Email: 3. Description/Purpose of Program: |
4. How does this Program/Event support the stated mission of the Cultural Center Allocation fund? Be Specific)
5. Please, describe in detail, how the requested funds will be used. Will any revenue be generated from your event?
(Please Note: 10% of all profits must be returned to the allocations fund).
6. Estimated Itemized Expenditures (where applicable):
Contract Fee:
Equipment Rental:
Food Costs:
Promotions:
Security:
Other Expenditures:
1.)
2.)
3.)
Total Estimated Cost:
7. Please itemize the other sources of funding you are applying for:
Cultural Center Allocation Fund:
SAF-B:
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8. Procedure -Please attach the following mandatory supporting documentation:
Applications must be accompanied by the following supporting documentation:
I herby confirm this application is complete, accurate and supporting documentation is attached. I am aware that failure to submit a complete application three weeks prior to event will jeopardize future allocations to my organization.
Signature: Date: Title: Date: Advisor Signature: Date:
(Please note: your advisor MUST sign application in order to receive funding) |