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 Conferences and Trips Budget Request Form  
(Must be submitted in time to qualify for "early bird registration". Requests submitted at least 45 days prior to conference will be reviewed and considered.  Requests submitted within 45 days may not be considered.  Student Government will need a minimum of 2 weeks to review your proposal and respond.  Increased costs due to late registration will be the responsibility of the club or individual (via fundraising, personal payment). 

Organization Information

Sponsoring Organization:

Primary Contact:
Name:  
Email: 
Phone: 

Secondary Contact:
Name: 
Email: 
Phone: 

Advisor Contact:
Name: 
Email: 

Conference Information

Name of Conference: 

Place of Conference: 

Conference Website: 

Number of Student Organization members attending: 

Start Date:    [None] Select a Date Delete the Date   Start Time:  

End Date:   [None] Select a Date Delete the Date  End Time:  

Purpose of the Conference:
   

Attendee Information
Enter details in each field for all conference attendees.  Missing or false information from any attendee will result in the denial of your request.  It is suggested that all conference attendees submit this form together OR that the primary contact person maintain a written record of these details for each attendee.  All GPA requirements and probationary records will be reviewed before your request is submitted to SGA.  

Advisor
Name: 
G Number: 
Birthday:   [None] Select a Date Delete the Date
Address: 
Please include street address, city, state, and zip code.
Phone Number: 

Attendee 1
Name: 
G Number: 
Birthday:   [None] Select a Date Delete the Date
Address: 
Please include street address, city, state, and zip code.
Phone Number: 
This person has made verbal confirmation that their current GPA is a 2.75 or higher and that the individual does not currently have any probationary holds (financial, behavioral, academic, or otherwise).  

Attendee 2
Name: 
G Number: 
Birthday:   [None] Select a Date Delete the Date
Address: 
Please include street address, city, state, and zip code.
Phone Number: 
This person has made verbal confirmation that their current GPA is a 2.75 or higher and that the individual does not currently have any probationary holds (financial, behavioral, academic, or otherwise).  

Attendee 3
Name: 
G Number: 
Birthday:   [None] Select a Date Delete the Date
Address: 
Please include street address, city, state, and zip code.
Phone Number: 
This person has made verbal confirmation that their current GPA is a 2.75 or higher and that the individual does not currently have any probationary holds (financial, behavioral, academic, or otherwise).  

Attendee 4
Name: 
G Number: 
Birthday:   [None] Select a Date Delete the Date
Address: 
Please include street address, city, state, and zip code.
Phone Number: 
This person has made verbal confirmation that their current GPA is a 2.75 or higher and that the individual does not currently have any probationary holds (financial, behavioral, academic, or otherwise).  

Attendee 5
Name: 
G Number: 
Birthday:   [None] Select a Date Delete the Date
Address: 
Please include street address, city, state, and zip code.
Phone Number: 
This person has made verbal confirmation that their current GPA is a 2.75 or higher and that the individual does not currently have any probationary holds (financial, behavioral, academic, or otherwise).  

Attendee 6
Name: 
G Number: 
Birthday:   [None] Select a Date Delete the Date
Address: 
Please include street address, city, state, and zip code.
Phone Number: 
This person has made verbal confirmation that their current GPA is a 2.75 or higher and that the individual does not currently have any probationary holds (financial, behavioral, academic, or otherwise).  

Attendee 7
Name: 
G Number: 
Birthday:   [None] Select a Date Delete the Date
Address: 
Please include street address, city, state, and zip code.
Phone Number: 
This person has made verbal confirmation that their current GPA is a 2.75 or higher and that the individual does not currently have any probationary holds (financial, behavioral, academic, or otherwise).  

Attendee 8
Name: 
G Number: 
Birthday:   [None] Select a Date Delete the Date
Address: 
Please include street address, city, state, and zip code.
Phone Number: 
This person has made verbal confirmation that their current GPA is a 2.75 or higher and that the individual does not currently have any probationary holds (financial, behavioral, academic, or otherwise).  


Budget Request 

Fund Code (please choose your Organization Name from the menu): 

Estimated Conference/Trip 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.  In the details section of each category include all relevant information about the expense.  For example, in Lodging, include number of people in each room [4 is suggested], room rates per night, number of nights staying, hotel information, hotel website, etc.)

Conference and Meeting In-State
Budget Breakdown
Meals: $
Details: 
Lodging: $
Details: 
Transportation: $
Details:
Supplies: $
Details: 
TOTAL: $


 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:  

                  

PLEASE HIT SUBMIT ONCE, THEN WAIT. IT TAKES TIME.

PLEASE HIT SUBMIT ONCE, THEN WAIT. IT TAKES TIME.  


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