Clubs & Student Involvement

Assembly Funding Request

Delegate to send request to:

Date of Activity or Event:

Name of Club or Organization:

Advisor's Name:

Advisor's Phone Number:

Advisor's E-mail:

President's Name:

President's Phone Number:

President's E-mail:

Number of members expected to attend:

Dues Paid:

Location of Activity/Event:

Total Cost of Event:

Total Amount Club Putting Forth:

Amount Requesting from CSI Assembly:

Transfer SUU Account Number:

OR
Check Req. Name of Club:

SUUSA - Southern Utah University Student Association

Clubs & Student Involvement

Assembly Funding Request