Club Finance Council Dance Grant Application2015-2016
Name of Student Organization / CSI Mailbox #
Current Membership / Freshmen / Sophomore / Junior / Senior / Non-student / Total
Agency Account #

Officer responsible for this application

Name
Phone number
Email address

Date, time, and location of dance

Date / Time / Location
Name of Dance
What line items do you need CFC funding for?
How will this dance benefit the UC Davis community?
Are you co-sponsoring this dance with another organization?
Event Funding Sources (How are you going to pay for this event?)
Please list all financial resources besides CFC that you have/are securing for this specific event.
Funding Sources ($ in Agency Account, fundraising, sponsorship, member dues, ticket sales, etc.) / Anticipated or completed? / Date (to be) Completed / Income
*Example: Ticket Sales / Anticipated / 10/2/2015 / $400
Total

Are you charging admission for this event? If yes, how much for students and non-students?

Note: All events that charge a fee must work with the UC Davis Box Office for ticket sales and will be required to report total event cost and all profits to CFC. Events that make a profit will be required to pay the CFC grant back up to the grant amount. Profit made ABOVE the CFC grant amount may be kept by the student organization.
Expected attendance at this event
Line-Item Details
  • Please attach quotes/estimates for each line-item you are requesting CFC funding.
  • All line-items/expenses for your event need to be listed below (whether or not you’re requesting CFC funding for them.)

Line-item / Vendor / $$ request from CFC for line-item / Other funding source(s) / Amount from other funding source(s) / Total
Cost of line-item
Facility Cost / ARC Ballroom / $300 / Ticket Sales / $400 / $700

(Total amount requested from CFC cannot be greater than $600.00 or 60% of total cost of the dance)

Signature of applicantDate

This person will be liable and accountable for all allocations made as a result of this

application for funding from CFC. Failure to follow CFC regulations may subject this

individual’s academic transcript or registration being placed on hold.

Signature of CFC Program CoordinatorDate

Your application will be signed by the program coordinator after you submit this

application to CSI.

THIS FORM CAN ONLY BE USED TO REQUEST FUNDS FOR A DANCE GRANT. DO NOT USE THIS FORM TO REQUEST FUNDS FOR OTHER CFC GRANTS.