Funding Request

Clubs/Departments Sponsoring Event*

Event Title*

Event Date(s)*

Please include month, day, and year.

Event Start Time*

:

Event End Time*

:

Event Location*

Event Purpose & Summary*

Upload Documentation of Event

Max. file size: 64 MB.

Type of Program (Check all that apply)*

Conference/Workshop
Lecture/Speaker
Minority/Ethnic
Performing Arts
Recreation
Travel
Visual Arts
Other

If other, specify.*

Primary Population to be Served*

Club Members
CFCC Students
Entire College
Community

How will the CFCC student body benefit by funding this event? How many students will be participating?*

Amount Requested*

Amount Your Club/Department is Contributing*

Approximate Costs*

Include all outgoing funds.

If applicable, anticipated income source (tickets, raffle, etc.)

Amount

Amount Requested from Other Sources

List of Other Sources

Other Information Pertaining to Your Funding Request

Applicant's Name*

First Last

Title*

Applicant's Phone*

Email

Advisor or Chair*

First Last

Untitled

Consent*

Consent

I understand and acknowledge that by checking this box, I am required to provide the proper documentation prior to any off-campus activities/travel.

A liability waiver signed by all students traveling.

Zero tolerance policy

Quick Information

Contact Information

Taylor Todd-Williams

(910) 362-7000

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