Request Financial Support

African & African American Studies Department Co-Sponsorship Form

Department or group requesting funds

Name(s) of Requestor(s)

(separate with commas)

Email(s) of Requestor(s)

(separate with commas)

Best Contact Phone Number

Total Amount Requested

Please describe the purpose of the funds request.

For example: co-sponsorship for an event, speaker or activity (please specify event or speaker), professional development activities (please describe), etc.

Include the date or dates when the activity for which funds are requested will take place.

Student Groups Only: Please provide an itemized budget for ALL anticipated costs.

If you are not a student organization, please type N/A. Where applicable be sure to include honoraria, lodging, travel, room rental, catering costs, etc.

If this is a collaborate event, please identify who and how much they have committed.

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