Conference Request Form
This form MUST BE SUBMITTED by 4:00 p.m. Friday 30 days before you require the funding along with the
budget request form. Copies of conference, registration, lodging, travel, and quotes must be attached. (We do
not pay for late registration)
In addition, male and female students MUST have separate rooms.
Club Name: ______________________________________________ Date: _______________________
Contact Name: ___________________________________________ Cell Phone: ___________________
Position: ________________________________________________ Email: _______________________
Conference Name: _____________________________________________________________________
Conference Location: ___________________________________________________________________
Conference Dates: _____________________________________________________________________
Purpose of Conference: _________________________________________________________________
_____________________________________________________________________________________
Registration
Names of Students:
1.) _____________________________ Year: _____ 2.) _____________________________ Year: _____
3.) _____________________________ Year: _____ 4.) _____________________________ Year: _____
0
0
0
$ __________ X ___ (# of students) = Total $: ___________
Lodging/Hotel
Name: _______________________________________________________________________________
Address: _____________________________________________________________________________
0
# of Rooms: ______ X $ ______ (per night X _____ nights (max. 3)) = $ __________________________
Travel: Airline-Name: ________________________________ Flight #: __________________________
0
# of People: ______ X $ ______ (per person) = $ ____________________________________________
0
Total Amount Requested: $ ____________
Total Amount Approved: $ __________
Office Use Only:
Approved: ____
Denied: ____
Senate VP Finance Authorization