matching funds request form

SCC Clubs & Organizations
Matching Funds Request Form
Please submit this form with a copy of the Event Registration Form for the fundraising event and a copy of the official
college Deposit Transmittal Form to the Center for Civic & Global Engagement (SC 185).
Club Name:____________________________________________________ Today’s Date: _______________________
Requester Name: ________________________________________________ Position:___________________________
Contact Phone Number:__________________________________________ Advisor:____________________________
Contact Email:_____________________________________________________________________________________
How many times has your group sponsored a table at an SLF event this academic year? __________________________
Which event(s): ____________________________________________________________________________________
What community service project(s) has your group facilitated or participated in this academic year?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Event & Date Where Money Was Raised:________________________________________________________________
_________________________________________________________________________________________________
Requested Amount:
 Scholarships
$ _____________________________
 General Programing
$ _____________________________
Has your group already been approved this year for matching funds? If so, how much? $ _________________________
Funds Requested Must Meet at Least One of The Following Criteria (check all that apply):

Assist students in furthering specific social, cultural, recreational, and/or educational objectives

Further the educational objectives of SCC and MCCCD

Enhance students cultural and diversity awareness

Promote active cooperation among campus and community involvement

Meet the needs of a substantial segment of the student population
Describe Intended Use of Funds:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
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If you are unsure of any information, please review Article IX in the CSL By-Laws. Fundraiser and related paperwork must occur and be
submitted between the first day of class in the Fall and the day before Spring Break each academic year to be eligible for consideration.
This request will be reviewed by CSL at the General Meeting following complete submission of this request. The allotment is based upon
available funds. Please note a maximum of $500 per academic year for programming and $1000 per academic year for travel or scholarship
may be requested.
You are required to submit a report on how the matching funding was spent by the end of the academic year, within two weeks of event /
project or no later than June 30.
Office Only
CSL Review Date: ___________________
 Approved
Notes:
 Denied
Return to the Center for Civic & Global Engagement (SC 185) 480.423.6590
02/2016