Special Initiative Budget Request Form
Group Contact Information:

Registered Student Organization Name: RSO Number:

Coordinator(s):

Coordinator Email (this will be our main point of contact with you, please provide an email you will check)

Coordinator Phone:

S&A Board hearing preference: Mon (anytime between 3-5p) Wed (anytime between 3-5p)

(please note, we will schedule on a first come, first serve basis and may not be able to accommodate your request).

Group Background and History:

Mission Statement:

Please share a brief history of your club, how long you’ve been in existence, and a recent event history.

Do you have weekly meetings? When and where? Generally how many students are in attendance?

Learning Allotment:

About how much time do coordinators spend on club business per week?

What are the specific roles of the coordinators in your group?

Goods and Services Information:

Please provide a brief description of the items you plan to buy.

Where do you plan to store these items for your group?

Event Information:

Please provide brief descriptions for each event you plan to host including event name, potential date (and back up date), intended audience, location (and back up location) of event, volunteer plan, and brief planning timeline.

Event #1:

Description (Including Speaker/Performer Biography if applicable):

Date:

Location Options:

Volunteer Plan:

Event #2:

Description (Including Speaker/Performer Biography if applicable):

Date:

Location Options:

Volunteer Plan:

Event #3:

Description (Including Speaker/Performer Biography if applicable):

Date:

Location Options:

Volunteer Plan:

Travel Information:

Please provide a brief description of the trip you plan to go on, a description of how you plan to fundraise the 15% required for all student group travel. Please also provide the Groups’ process for selecting which students will travel. Please also make sure to attach a Tentative Travel Worksheet for each trip you plan to go on.

Trip #1:

Description:

Date(s):

Location:

Number of Attendees:

Fundraising Plan:

Have you attached a Tentative Travel Worksheet? Yes No

Trip #2:

Description:

Date(s):

Location:

Number of Attendees:

Fundraising Plan:

Have you attached a Tentative Travel Worksheet? Yes No

Additional Documents:

Please copy and paste the following items into this document:

  • Evidence of correspondence with speakers/performers and negotiation of price.
  • Comparative pricing information for equipment and supplies you wish to purchase.
  • Quotes for travel costs (such as air fare), equipment rental, media services, etc.
  • Event Evaluations from events in the past year (use past years evals if necessary).

Advisor Comments:

Advisor Signature and Date: