Office of the Provost and Academic Affairs

CONFERENCE FUNDING APPLICATION

Brief Description of Criteria
  • Applicant(s) must be a member of the University community.
  • Grants will be awarded for conference attendance that supports current student programs or student organization initiatives.
  • Please Note: Multiple requests by one person, organization, or club must be submitted on one application, and the total requested for the conference may not exceed $2,500.
  • Grant amounts range from $500 to $2,500 for clubs and organizations
  • Grant amounts for individuals will be evaluated on a case by case basis.
  • Deadline for submission is 11:59 pm on Friday, October 14, 2016.
  • Only applications received by the deadline will be considered.
  • All proposals must be submitted online to . A confirmation will be sent upon receipt. If you do not receive a confirmation, please call Melissa at 413-782-1203.

Grant Amount Requested: $______Number of people attending: ______

Date:______

SECTION A—Applicant Information

Name of Organization/Student:

Address:

Contact Person: ______Title:______

Phone: ______Email: ______

Club Advisor: ______Phone: ______

SECTION B--Principle purpose and services of your organization/group:

SECTION C--Conference Name and destination:

Executive summary of the educational content of the conference:

Conference dates______Funding Needed by: ______

SECTION D--Budget Sheet: Include all other funding sources and expenses of the conference.

Please include your total budget for the conference on the budget spreadsheet below.

  1. Have you applied for Provost Office funding previously? ______
  2. Was it approved? ______

Note any funds that are pending and those that have been awarded.

Line / Revenue / Amount / Comments
1 / Fundraisers (club)
2 / Dues
3 / Senate Funding ($850 cap) / Pending Amount confirmed:$
4 / Other funds pending (Learning Beyond the Classroom Mini Grant)
5 / Other funds pending (academic department
6 / Other funds pending (Academic Dean’s Office)
7 / Other funds awarded
8 / Total Revenue / $
Expenses
9 / Meals (not included in registration fee)
10 / Registration
11 / Transportation
12 / Out of Pocket expense per person
13 / Other (please identify)
14
15
16
17 / Total Expenses / $
18 / Amount Requested / $ / (line 17 minus line 8)

SECTION E—Supporting Questions

1. What are the top three benefits for students attending this conference?

2. What are the top three benefits for your club or organization?

Attach any other supporting materials as appropriate:
(Topic of student presentation (if applicable), letters of support, brochures, news items, photographs, etc.)

Signature of applicant(s): ______Date______

Printed name(s): ______

Signature of Advisor: ______Date______

Printed name(s): ______

*The Provost will review the applications shortly after the deadline and will contact the Office of Student Activities and Leadership Development with allocations for clubs and organizations. An individual receiving funding for conference attendance, non-club affiliated, will be contacted directly by the Provost Office at the e-mail address provided on this application. Thank you.