Western University Student Government

SGA Funds Request Form

The Student Government Association (SGA) meets on Tuesdays during the noon hour and will be happy to consider your request at the next SGA Senate meeting that does not yet have a full agenda. The SGA Vice President will e-mail you once your request has been placed on the agenda. You will need to present your request to the SGA senate in order for your request to be considered. COMP-Northwest students, you will have the ability to present your request via video conference.

Please note that if you do not fully answer all questions below, you will have to re-submit your request.

Current Date:

6/18/2013

Your First and Last Name:

Your Email:

Club name
(if you're an officer):

Your Club/Class Position
(If you're an officer):

Activity For Which Financial Assistance Is Requested:

How Will This Activity Benefit the University/College?

Who Will Attend The Activity?:

Amount of Financial Assistance Requested:

Projected Expenses

Please clearly articulate the expenses you anticipate in order for this activity to occur. These may include items such as registration fees, airfare, hotel, ground transportation, purchase of food/clothing for an event, etc.

Fundraising Efforts

Before requesting funds from the SGA, you should have considered all other fundraising options. Please briefly describe what efforts have been made to raise funds for this activity and how much was raised in each of these efforts:

Description	Amount Raised	Description of your Fundraising Efforts
Fundraiser(s)	$
Financial Support From Club/Class	$
Financial Support From College	$
Financial Support From Traveler	$
Other	$
Total Funds Raised:	$0

Click here when done: