Glendale Community College

Associated Student Government

REQUEST FOR FUNDS

    1. Submit this form to the Office of Student Life or during an ASG Tuesday meeting at 1:30 p.m.

(**All applications must be received 3 weeks before activity.**)

2. Call 623-845-3526 and leave a message asking to be placed on the agenda for the next ASG meeting.

3. Send a representative from your student organization to the next ASG meeting.

Note: Meetings are on Tuesdays at 1:30pm in the Council Chambers. *Request a time if you can not attend the entire meeting.*

Club Name: __________________________________ Account #: ____________________________

Club Representative: _______________________ Phone #: _________________________________

Date funds needed by: ___________________ Date of application: ___________________________

Please list the items/services that you want to purchase and the purpose served by the use of funds:

Item or Service needed Quantity Price

envelopes 100 $8.00

______________________________________________________________________________

______________________________________________________________________________

Vendor Name Address Phone #

______________________________________________________________________________

Describe specifically the purpose of activity and/or how it will benefit the student body:

_______________________________________________________________________________

_______________________________________________________________________________

SIGNATURES

Club President: _____________________________ Date: __________________

Club Advisor: _____________________________ Date: __________________

ASG President: _____________________________ Date: __________________