Fillable Student Activities Form General Funding Request (Page 2 of 2) in pdf

Student Activities Form General Funding Request Page 2

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EXPENSE DETAILS (cont’d)

 I need a check cut to pay a vendor, bill or donation.

 I need to use the college credit card to pay for an item.

For check/credit card purchase :

Name of vendor: _________________________________________________________________________

Basic description of purchase: _________________________________________________________________

PLEASE ATTACH BACKUP DOCUMENTATION (INVOICE OR PRICE QUOTE).

 I need to be reimbursed for a purchase.

Name of person to be reimbursed: ____________________________________________________________

Total amount to be reimbursed:_________________________

PLEASE ATTACH A COPY OF YOUR RECEIPT.

**Please Note: We cannot reimburse for tax paid within New York State. Tax Exempt forms are available in the

Student Activities Office. We will not process reimbursements more than three weeks after the original

purchase date.

PLEASE CHECK ALL THAT APPLY:

 Requesting SGA funding for this

Total requested: _______________

Total approved: _______________

purchase

 Using club funds for this

Total requested: _______________

Total approved: _______________

purchase

TOTAL PURCHASE AMOUNT:

Advisor Signature: ___________________________________________________ date: ____________________

Signature of student completing this form: ___________________________________ Date: _____________

Finance Committee Signature: _____________________________________________ Date: _____________

Student Activities Staff Signature: __________________________________________ Date: _____________

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Student Activities Form General Funding Request Page 2

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