Funding Request Form
Have you read the VGSA Funding Guidelines ? Yes No
ORGANIZATION and Contact Information
USC Recognized Organization Name(a)
 *
Campus Address
 *
Contact Person
 *
Contact Email
  @usc.edu *
Phone #
 *
 
USC Recognized Organization Name (b)
Campus Address
Contact Person
Contact Email
  @usc.edu
SPONSORSHIP INFORMATION

Please provide information about other sponsors for your event

Organization Name: Amount of Sponsorship: $
Organization Name: Amount of Sponsorship: $
Organization Name: Amount of Sponsorship: $
Organization Name: Amount of Sponsorship: $
 
Date Funds Needed By: (i.e. MM/DD/YYYY...do not write ASAP)
EVENT INFORMATION
Event Theme/Title/Name
*
Event Location
 *[ex. Ground Zero]
Event Date (s)
*[mm/dd/yy]
Event Time (s)
*[ex.2-5pm]
Expected Attendance
*[ex. 200]
Expected Engineering Student Attendance
*[ex. 50]
* Provide a brief description of the event including agenda, promotional plans, and benefit for Graduate Engineering Students/USC Community:
LINE ITEM BUDGET

Provide a COMPLETE itemized budget for the event. Clearly label the expenses for which VGSA funding will be used. Provide additional comments below if necessary.

Description of Expense
Amount
Source of Funding
USC Vendor Name & Code
$
$
$
$
$
$
$
*Total:
 $    

 
Total Requested from VGSA:
 $ *
Remember to fill out the VGSA Funding Request Supplement Form.

 

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