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Co-curricular Event Proposal and Budget Request Form 

Organization Information

Sponsoring Department: 

Primary Contact:


Secondary Contact:

Advisor Contact:

Budget Request 

Estimated Event Budget Total: 

Basic Budget Breakdown:
(Please enter your estimated expenses for each of the following categories, if a category does not apply please enter $0.00)

Independent Labor: account code 5910 (Presenter cost): $ 

Supplies: account code 6110 (decorations, tableware, etc.) $ 

Food Service: account code 6320 (CulinArt fee, Catering, Etc.): $ 

Film and Video Rentals: account code 6135 (To legally show films with license): $ 

New Equipment: account code 7010 (Generally not applicable): $

Trips/Events Off Campus: account code 6315 (Bus Trips): $

Other (If no unlisted anticipated costs apply, please leave these fields blank): 
Please enter the anticipated expense:  Estimated Cost: $ 

Event Information

Event Name: 

Estimated Attendance: 

Day, Date, (1st Choice):   [None] Select a Date Delete the Date Time (1st Choice):  Location (1st Choice): 

Day, Date,  (2nd Choice):   [None] Select a Date Delete the Date Time (2nd Choice):  Location (2nd Choice): 

Event Type:  If you selected "Other", please specify the event type: 

Purpose of the Event: 

Brief Description of the Event: 

Please list the name(s) and title(s) of Presenters: 

Will you be charging admission for this event?  If yes, how much is the admission fee per person? 

Is this event a fundraiser? 

If yes, please answer questions 1-3 listed below:

1. Beneficiary Name (Name of the person who will be receiving the funds raised): 

2. Has your organization fundraised for this cause in the past, or have you submitted a W-9 Form of the benefactor? 

3. If you are Co-Sponsoring this event with another Student Organization, please enter the organization name: 


Learning Outcome 

Learning and Development Outcome Category: 
(Choose the category that best describes this event in consideration for inclusion on the Student Engagement Transcript.  The Committee will determine if the event qualifies for inclusion based upon the learning outcomes and criteria.)  

Check all skills that are intended to be improved through participation in this event: 





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