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Senate Appropriations Committee Request Form
Important Note: The completed Appropriations Committee Request Form must be submitted at least four (4) week before the date of the program. In order to complete the form, you may need to gather additional documents or signatures from various individuals and departments on campus and off campus. Additionally, revisions may be requested before the form can be accepted. Allow sufficient time to complete all of these tasks and still be able to turn in the form at least four (4) weeks before the date of the program.
Student Representative Name:
Panther ID:
Organizational/Department Name:
Total Amount Requested:
Program Title:
Complete this form. Answer all the questions completely and print out a copy. Initial Below.
Attach copies of quotes, invoices, detailed budget, receipts, publicity materials and other required supporting documentation. Obtain all approvals and signatures. Please initial below.
Please submit a short program proposal with your request for the Student Government Association. The proposal MUST include the following information in order for the Student Government Association to consider it.
Attach program proposal:
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Date and Location of the program:
Event Location Confirmation:
Number of Active Members:
Description of your organization:
Will the program be open to ALL FIU Students?
required
Yes
No
If YES, what is the estimated number of FIU students affected by your program?
How will this program related to the mission of the Student Government Association and/or Florida International University?
Are you hiring or contracting a promoter for this event?
required
Yes
No
If yes, please provide the name and contact information of the promoter:
Are you selling tickets for this event?
required
Yes
No
If yes to selling tickets, you must contact the A&S Business Office at 305-348-3077
Have you been fundraising?
required
Yes
No
If yes, how much have you raised?
Do you have any other sources of funding?
required
Yes
No
If yes, please list sources and amount
Are you collaborating with any other student organizations?
required
Yes
No
If yes, which organization(s)?
If funds are not granted, how will this impact your organization?
If the Student Government Association funded this event in previous years, describe the significant success/failure of the program previous years. If there were failures, what is your plan to avoid them this year?
Official Representative and Date
File Upload: Conferences, Lectures, and Presentations. A half page biography or profile of any artist or speaker who will receive a fee and topic discussion of the event must be attached.
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List the following: Artist/Speaker, Program Location, and Total Cost
Total Artist Fee
Student research project. The description of the project, the project expenditure breakdown and written recommendation from the faculty advisor on the project must be attached.
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number of students on team
Research Project Title
Department
Length of Project
All publicity must be attached
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Company
Type of material requested
Number of units requested
Cost per item
Total Cost
Total Publicity Cost
Professional Development Registration Fees: The reason explaining why attendance to the conference or organization is essential to the mission of the organization must be provided. Please attach additional sheet explaining the purpose.
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What is the purpose?
Number of people attending
Cost per person
Total Cost
Total Professional Development Cost
Airline Travel:
All travel arrangement must be done on your own. Airline travel requests cannot exceed $600.00 per year
Company
Destination
Number of people traveling
Cost per person
Total Cost
Total Airline Travel
Attach any additional supplemental documents here
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Total Finance Request:
The following is to be completed by the representative. Providing the requested amount for each item description.
Requested Amount for Artist Fee
Requested Amount for Research Project
requested Amount for Publicity
Requested Amount for Professional Development
Requested amount for Airline Travel
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