Fall 2016
“SPECIAL STATUS” APPLICATION FORM
Please email your completed budget packet to .
You will receive a confirmation that your form has been received by the Chief Financial Officer
within 24 hours.
Organization:President’s Name: / Email: / @albion.edu
Treasurer’s Name: / Email: / @albion.edu
Advisor’s Name: / Email: / @albion.edu
Number of Students Active in the Organization:
STATEMENT OF DISCLOSURE:
We the undersigned members, certify that the information included within the “Special Status” Organization Form is true and correct to the best of our knowledge. The “Special Status” recognition for organizations does not roll over and organizations must re-apply each semester to be considered for “Special Status” recognition within the SAF Guidelines. The organization we represent recognizes, understands, and agrees to follow the guidelines for student organizations, as stated in the Albion College Student Handbook and the SAF Guidelines.
President’s Signature: / Date:Treasurer’s Signature: / Date:
Type the mission or purpose of your organization, as stated in your constitution, below:
Total of Funds Requests for Semester :
(add all requests to get total)Maximum Request is $3,500 / $
Special Status Organization:
- Any member organization that relies on attending or presenting one (1) major event/program that is critical to fulfilling its mission statement shall be eligible for “Special Status”recognition
- The Appropriations Committee in addition to this form will use the following criteria in considering having your group being recognizedas a “Special Status” Organization
- How the event improves the college experience for students at Albion College
- How many individuals attend the event/program
- How the event/program will fulfill the mission statement of the organization
How will the event improve the college experience for students at Albion College?
How many and what type individuals attend the event/program? (Students, faculty, community, etc.)
How will the event/program fulfill the mission statement of the organization? (Be specific)
Why is your organization applying for “Special Status” recognition within the SAF Guidelines?
How would your group and its members benefit from being a “Special Status” Organization?
If not approved as a Special Status Organization, how will this impact your group?
Is this your organization’s first time applying for” Special Status” Organization? / NO / YES
*If approved, is your organization planning on renewing the “Special Status” each semester? / NO / YES / Explain?
*DISCLAIMER
Your organization may decide later to reverse your choice on whether on renewing for “Special Status” recognition. This question is mostly for the Appropriations Committee in having a general idea of how many groups will renew their “Special Status” recognition for next semester.
MUST BE COMPLETELY FILLED OUT
Program or Event Name: / [PROGRAM NAME]Expected Attendance: / [NUMBER OF PARTICIPANTS]
Description: / [ENTER DESCRIPTION HERE. BE VERY SPECIFIC. TELL US EXACTLY WHAT IT IS THAT YOU WANT TO DO, OR WHERE YOU ARE GOING HOW YOU WANT TO DO IT. WE ALSO NEED TO BE AWARE OF ANY SET COSTS FOR YOUR EVENT, SO THAT WAY WE UNDERSTAND WHERE THAT AMOUNT WAS DERIVED FROM.]
Projected Expenses: Cost:
Expense: / [TYPE OF EXPENSE] / $ / [AMOUNT]Expense: / [TYPE OF EXPENSE] / $ / [AMOUNT]
Expense: / [TYPE OF EXPENSE] / $ / [AMOUNT]
Expense: / [TYPE OF EXPENSE] / $ / [AMOUNT]
TOTAL / $ / [ENTER TOTAL PROJECTED EXPENSES HERE]
APPROPRIATIONS COMMITTEE USE ONLY
Date of Committee Reviewing: / Approved / Denied
Appropriations Chair Name: / Signature
***Note that projected expenses are the supplies and materials that are NEEDED to put on or attend the event. This includes things like Travel, Lodging, Decorations, etc.