STUDENT ACTIVITIES FORM
GENERAL FUNDING REQUEST
Student Center, Room 519
|activities@tc3.edu
| 607-844-8222, ext. 4442
Submit this completed request at least one (3) weeks prior to the date you need to make a payment to the Student
Activities Office in Room 519 in the Student Center. You may be required by Student Activities to submit additional
information or meet with the department staff before this is approved. COMPLETED FORMS MUST INCLUDE YOUR
ADVISOR’S SIGNATURE.
CONTACT INFORMATION
(NOTE: you will be the main contact person for all future communications about this payment)
Club/Organization Name:
Name of student completing this form: _________________________________________________________
Your Email: _________________________________@mymail.tc3.edu
Your Cell Phone #: ______________________________
Text Friendly? YES NO
EXPENSE DETAILS
Today’s Date:
Date Payment is needed:
Type of Funding Requested:
Educational Supplies
Office Supplies
Promotional Items/Give Aways
Thank You Gifts/Club Apparel
Membership Fees Printing/Copying
Food at a Meeting Miscellaneous**
Equipment
**If Miscellaneous, please describe: ______________________________________________________
____________________________________________________________________________________
Definition of Funding Types:
Educational Supplies: Payments for supplies and materials used for educational and instructional purposes that are related to the
student club (examples: books, pamphlets, CD’s, or other media)
Office Supplies: Supplies to support administrative functions of the club. Please check the Leadership Lounge before ordering
individual club supplies.
Promotional Materials: Items used to promote involvement in the club (i.e., mouse pads, stress balls, pens/pencils, etc.) 75% of this
purchase can be requested from SGA, and 25% must be covered from fundraised dollars.
Thank You Gifts/Club Apparel: Recognition gifts for members, officers, or advisors. T-shirts, or other apparel, with the club logo.
(Gifts may not exceed $20 per person; only fundraised dollars can be used for this purpose.)
Membership Fees: Dues/Fees associated with organizations relevant to the club’s mission. These fees DO NOT include conference
registration fees. Conference fees are associated with travel only.
Printing/Copying: This is for items that are not connected to the promotion of a specific event. (i.e., club informational brochures,
handouts for meetings, etc.) A copier is available in the Student Activities Office for general photocopies. Each club is allotted 100
copies per day at no charge. Use this form for larger projects, color copies, or large copy jobs.
Equipment: Large scale items needed to execute club related activities. Equipment purchased with SGA funds must remain the
property of the club and be stored in the Leadership Lounge. Purchases over $250 may be subject to additional approvals.
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