Request Funds from Residence Hall Association

Your Name:

Your Campus Address:

Your Phone Number (ext. or cell phone):

Your Email:

Position (RA, RHA, Representative, etc.):

Residence Area:

Event Title:

Time:

Location:

Please provide a brief description of your event:

Who is responsible for planning the event (RAC, RA Staff, Club/Organization, etc.):

Please provide an itemized list of anticipated costs (supplies, food, etc.):

How will you publicize your event?

Do you need to reserve space or equipment from Event Services?

Yes
No

If yes, who is responsible for contacting Event Services?

Anticipated Attendance:

Preferred Method of Funding:

Budget Transfer
Cash Advance
Reimbursement of Approved Amount
Check Request

Student Life