Club Finance Council Short Long Term Loan Application

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Club Finance Council Short/Long Term Loan Application 2014-2015
Please complete this application entirely on the computer and submit 1 copy. Limit your entries to the space provided;
do not modify the format (no forms longer than 2 pages will be processed.) No portions of this form can be
handwritten. One application per event only.
Today’s date:
Date received:
Type of Loan
Amount
Requested
Name of Student Organization
# of members
Mailbox #
Submitters Name
Phone number:
Email address:
Do you have an agency account with CSI?
If yes, what is your agency account #?
Purpose of your loan request.
How will your group obtain funds to
repay the loan? Please provide a time
line to show how you will accomplish
this.
Describe the activity/item for which
you are seeking a loan.
Include the following when
applicable: date, time, location,
number of participants, type of
activity, etc.

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