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Graduate Student Advisory Board (GSAB) Funding Opportunities

Graduate Student Advisory Board (GSAB) Funding Opportunities

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Date:_________________<br />

<strong>GSAB</strong> <strong>Funding</strong> Request Form<br />

<strong>Student</strong> Contact Information<br />

Name:______________________________________________ ID#:______________________<br />

Academic Program:_________________________________________________________________<br />

Home Address:______________________________________________________________________<br />

Telephone:__________________________________________________________________________<br />

Email:_______________________________________________________________________________<br />

Please fill out all of the information that applies to your funding request:<br />

<strong>Funding</strong> Need: (Description of funding request)<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

Conference Information (<strong>GSAB</strong> may fund up to $200 per person for conference travel)<br />

Conference Title:_______________________________________________________________________<br />

Conference Date(s):____________________________________________________________________<br />

Location of Conference:________________________________________________________________<br />

If you are proposing to purchase item(s), fund an activity or initiative, etc. please list the<br />

reason(s) why you feel it is needed:__________________________________________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

If you are purchasing an item, where will the item(s) be placed?_______________________<br />

_____________________________________________________________________________________<br />

_____________________________________________________________________________________<br />

How will this investment benefit SCU graduate students or graduate students in your<br />

academic program?________________________________________________________________<br />

_____________________________________________________________________________________<br />

Total amount of <strong>GSAB</strong> funds requested:$_____________________________<br />

Please attach any additional documentation such as relevant background information,<br />

conference brochure, goals, planning timeline, quote, or other information that you feel<br />

supports your funding request.<br />

Date:<br />

Reviewer: ________________<br />

Approval: yes no Amount: _________________<br />

Please return your funding form to <strong>Student</strong> Center & Activities, CdC 270 or mail #4261.

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