Co-Sponsorship Application
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Transcript of Co-Sponsorship Application
8/8/2019 Co-Sponsorship Application
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GUIDELINES FOR R EQUESTING FUNDING
To be eligible for funding your student organization must 1) be officially registeredthrough the Student Activities Organization (SAO) and 2) have a valid and activemonetary account. All student organizations satisfying these criteria are fully welcometo apply for funding.
PSG is charged with allocating funding in a rigorous, neutral, and fair manner. Studentorganizations are thus asked to submit a detailed application to allow Purdue StudentGovernment to accurately evaluate the financial circumstances of your organization andthe qualifications of the request. Since funding is limited, PSG prefers to supportorganized groups with well-planned events.
Consideration for and amount of funding is often based upon the following criteria:Size of organization
Expected attendance
Venue
Proposed Budget
Requesting organization’s annual operating budget
All groups can apply for Purdue Student Government funding. Causes that PSG typically fund include the following categories:
Direct or indirect community service
Community organization or development
Education
Well Being of the Students and/or Purdue University
Purdue Student Government usually does not fund:Capital goods (products able to be reused following the event)
T-shirtsFood and Drink
Student lodging, travel, or gas
Student salaries
Club/Intramural Sports fees
Awards, gifts, gift certificates
To request an exemption to fund any of the above items, please refer to the ExemptionRequest page. If you request any of these items without an exemption, you will not beallowed to receive funding for said item.
Amount funded is not to exceed fifty percent of total event budget, with a co-sponsorship limit not to exceed $1000, without senate approval.
All Applications Must Be Turned in 2 weeks ahead of time Any Application Requiring Senate Approval Must Be Turned in 6 weeks prior to the event.
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Funding Application
Organization Name: ___________________________________________________
Group E-mail: _______________________________________________________
SAO Registered: YES NO BOSO Acct #_____________________
Primary Contact Name: ________________________ Title: ________________
E-mail: ______________________________________ Phone: ________________
Secondary Contact Name: ______________________ Title: ________________
E-mail: ______________________________________ Phone: ________________
Please circle any of the following which describe your group:
A CADEMIC/PRE-PROFESSIONAL CULTURAL/ETHNIC POLITICAL
ENTERTAINMENT SERVICE R ELIGIOUS A THLETIC
Describe the overall purpose of your organization and the types of activities it holds:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Number of active students: ______
Average attendance at meetings/events: _______
Is this group working with any departments or other organizations?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Is this group affiliated with a national or parent organization?
________________________________________________________________________________
________________________________________________________________________________
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FINANCIAL INFORMATION PLEASE FILL OUT ALL INFORMATION CLEARLY & CAREFULLY
Section 1 - Account BalancesPlease list the balance of any accounts your group accesses. Include also the balances of any external,commercial bank accounts the group holds (e.g. Comerica, Chase Bank, etc.)
Account Location Balance
$
$
$
Total Account Balance (sum of above columns) $
Section 2 – Funding Received And/Or RaisedPlease identify ANY other funding (besides dues) that your group has or will definitely be receiving/raisedover the semester. These sources could include outside donations, national organization allocations, etc.
Funding Source Expected Amount
$
$$
Total Expected Funding (sum of above columns) $
Section 3 – Funding Pending
Please estimate ANY other pending funding (besides dues) that your group could possibly receive over thesemester. These sources could include outside donations, national organization allocations, etc.
Funding Source Expected Amount
$
$
$
Total Pending Funding (sum of above columns) $
Section 4 – Dues
Expected Number of Dues-Paying Members (1)
Dues Charged Per Member (2) $
Total Dues Revenue {Field (1) x Field (2)} $
Cash Flow Summary
Please copy the values from the above worksheet to create your cash flow summary.
Total Account Balances (section 1) $
Total Expected Funding (section 2) $
Total Dues Revenue (section 4) $
--MINUS--
Total Projected Expenses (page 6) $
Cash Flow $
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FINANCIAL SUMMARY
Please attach any further information that may present a more complete financialpicture of your organization. This especially applies to club / recreational sports orgroups with exceptionally large budgets.
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E VENT DESCRIPTION NO. [____]Complete this page for each event. If you are holding a series of similar events, e.g., weeklyspeakers or meetings, list it as one event .
Event name: _________________________________________________________
Event date(s): ________________ Event location: ______________________
Briefly describe this event. What is its overall purpose? __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Describe how this event will impact our campus and the student body.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
If applicable, please describe how the program intends to benefit Purdue through community service, education, leadership development, and social action.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Describe how your events will include other groups or departments. __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
How many participants do you expect? ________
Will you charge admission? YES NO If so, how much? ______________
Who is eligible to participate? ______________________________________
Are your date and location confirmed? YES NO
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BUDGET FOR E VENT NO. [____] Please fill out this form for each corresponding event description page. List ALL expenses.
Category: Total Cost: Amount Requested:
Advertising & Publicity
(Posters, flyers, ect.)$___________ $___________
_____________ $___________ $_________
_____________ $___________ $_________
Rental
(Facilities, equipment, ect.)
_ $___________ $___
_____________ $___________ $_________
_____________ $___________ $_________
Entertainment Fees
(Speaker, Entertainment, Band, ect.)
_ $___________ $___
_____________ $___________ $_________
_____________ $___________ $_________
Services Provided
(Catering, Favors, ect.)
_ $___________ $___
_____________ $___________ $_________
_____________ $___________ $_________
Other _ $___________ $___
_____________ $___________ $_________
_____________ $___________ $_________
TOTAL EXPENSES $___________ $___________
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EXEMPTION R EQUEST
Include this page if you are applying for an exemption.
Exemptions for the following goods
Capital goods (products able to be reused following the event)T-shirts
Student lodging, travel, or gas
Food and drink
Student salaries
Club Sports fee charged by the Athletic Department
Awards, gifts, gift certificates
Briefly explain the item(s) for which you are requesting an exemption for, why you need it, andhow your situation provides reason for BPC or CSC to grant you an exemption.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Off-Campus Travel
Briefly explain where you are going, and how it will benefit students.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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Purdue Student Government Appropriations Form-School Year 2009-10
In consideration of their mutual promises and agreements:Contingent upon the allocation of funds in the Fall Term of 2009 by the Purdue StudentGovernment (PSG) of Purdue University, the Recipient agrees, bound by legal repercussions:
1. To use the allocation exclusively for activities previously presented to and approved by PSG.No funding shall be provided for capital goods, t-shirts, newspaper ads, gas, Club Sports fees,
food or beverages, student airline travel, student lodging, awards, gifts, gift certificates, film, orfilm processing. Exceptions to these conditions must be pre-arranged, in writing with thePSG cabinet or Internal and Financial affairs chairman as appropriate.
2. Date Limitations
3. Recipient permits PSG to access records in Student Organization Accounting Services whichevidence Recipient's financial transactions - regarding the sum granted by SAO or PSG.
4. Recipient affirms that all statements made regarding its funding request are true and correct tothe best knowledge of the undersigned representatives.
6. If (1) any of the provisions of this agreement are violated by Recipient, (2) if any of the statementsof the allocation request are untrue, or (3) if any of the allocated funds are used in a manner on anactivity not previously approved by the contract, Recipient agrees to return, upon PSG's request,an amount equal to the full amount of the grant. This shall not be construed to limit the right of PSG to recover any additional sum that it is entitled to pursue through legal or administrativeprocesses.
7. Recipient agrees that failure to comply with the terms of this agreement - in any regard - may subject Recipient and/or its members to (1) full repayment of the grant, (2) civil liabilities, and(3) sanctions by PSG in accordance with its powers and operating procedures.
8. Statement of Guarantee:
We, the undersigned parties, agree that (1) should Recipient become liable to the PSG forrepayment of any of the funds granted and (2) should the Recipient fail to repay the funds for
which it is liable, we will personally pay to the PSG any unfulfilled debts on demand.
The below-signed representatives have read and understand this agreement; at least ONE signer must bean SOA Authorized Signer:
___________________________ _______________ ______________Name (Authorized Group official) Position Date
____________________________ _______________ ______________
Name (Group Member, different than above) Position Date
_____________________________________________Group Name
All Applications Must Be Turned in 2 weeks ahead of time Any Application requiring Senate Approval Must Be Turned in 6 weeks prior to the event.