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Student Program Fund (SPF) Application

Applications are reviewed Mondays at 9am and should be submitted no later than 9am on Mondays.
Applications will not be considered retroactively nor any other day but Monday at 9am.
All applications are due at least 5 business days prior to the event.

Sponsoring Student Organization:
First Name:
Last Name:
WesID:
WesBox:
Email:
Phone:
Event Name:
Event Date(s):
Event Time:
Event Location:
Is this a:	Social EventNon-Social Event
Describe the proposed activity/event in detail:
How does this event/ opportunity contribute to building campus community and/or learning outside of the classroom?:
Number of People Expected in Attendance:
Target Audience:
If sponsored by a WSA recognized organization, please provide a WSA smartkey number:
Other Sources of Funding (at least one other funding source is required for events costing more than $100.00)
Source 1:
Amount $:
Source 2:
Amount $:
Source 3:
Amount $:
Proposed Costs
Honorarium $:
Travel (Please note: SALD cannot provide funding towards travel) $:
Conference Fee $:
Advertising/ Promotion $:
Facility Rental Fee $:
Equipment Rental $:
Materials/ Supplies $:
Food $:
Please describe other proposed costs:
Total Need $:
Total request from the Student Program Fund $:
PLEASE READ BEFORE SUBMISSION By pressing the SUBMIT button, I agree that, to the best of my knowledge, all the information in this application is true and correct. If a grant is made, the organizer(s) named on this application agree to comply will all University policies and procedures as outlined in the Code of Non-Academic Conduct. I understand that failure to comply with these policies and procedures will result in denial of funding. NOTICE According to state and federal tax laws, all employers (including Wesleyan University) are required to withhold or report taxes on any fees for services rendered by "performers" (i.e. DJs, musicians, speakers, sound technicians, etc.) Therefore, these parties *MUST* be paid directly by the WSA student organization or Student Activities and Leadership Development. If payment is made by student to performer, said student WILL NOT be reimbursed, as this is considered third party reimbursement. By pressing the SUBMIT button, I acknowledge and understand the statement above.

Student Program Fund (SPF) Application

Other Sources of Funding (at least one other funding source is required for events costing more than $100.00)

Proposed Costs

PLEASE READ BEFORE SUBMISSION

NOTICE