Contact Information
Organization/Professor requesting the funds
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Contact person's full name
Contact person's full name
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First Name
Last Name
Contact person's position in the organization
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Email
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Phone
Activity Information
Description:
Description and purpose of the activity
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(200 words max.)
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Location
Date
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Day
Year
Date
Time (if applicable)
Hour Minutes
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PM
AM/PM Option
Targeted audience
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(Which students will participate and how many)
Fund information:
Funds solicited from other sources (if applicable. Please specify if received, pending or denied)
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How much will the students contribute of their own funds?
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Total proposed budget: please give me as much details as possible. Please provide a budget that includes travel, hotel, food, etc. if applicable.
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Alternatively, you can upload a file for your budget using the File Upload field below.
Additional information (if applicable)
Alternatively, you can upload a file for your additional information using the File Upload field below.
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