Graduate & Professional Student Council

Graduate & Professional Student Council

Initial Club Funding Application

Please direct any inquiries to . Please read all the information on the club funding website ( before applying. This form must be completed in its entirety and received at the above email address by the 5:00pm (AZ time) on the deadline date to be considered. No physical copies will be accepted.

Club or Organization Details

Name of Club or Organization
Name and Title of Officer Requesting Funds
College and Department
Contact Phone Number
Contact Email Address
Club or Organization Advisor Name
Advisor’s Email
Total Amount Requesting from GPSC

*Funds cannot be approved without a valid Bank Account. Please be prepared to provide your club or organizations bank account information to the University of Arizona if you receive funding.

Club Specific Information

Mission Statement (Use as much space as needed.)

Membership Roster (Use as much space as needed. Include enrolled dept. and year if possible. You may attach a separate file if necessary.)

NameDept./Year

Description of Club or Organization and Intent (Specify what events or initiatives have you done in the past and expect to do in the future with the requested funds. Also, use this space to justify the budget items you are requesting below. This information will be used to ensure the requests fall within the guidelines outlined on the website. Use as much space as needed.)

BUDGET

(Please provide additional information and justification for each item within your budget that will be funded by GPSC. Detailed information would need to be provided for all requests, which include (but are not limited to): flyers and/or printing costs, which speakers are receiving honorariums (and the amount), merchandise, travel expenses (please provide hotel location, nightly costs, and ticketing information), room reservations, and/or carpool services).

Itemized Budget

Show in a table or spreadsheet a budget for the entire request, including those items that may be funded by the GPSC and/or other sources. When completing the budget form, if you find you do not have enough room (i.e. greater than 25 items or greater than 5 total funding sources), please add rows as necessary.

GPSC ICF Funding Application
Club/Organization
Description of Intent
ICF Funding Proposed Budget
Funding Source
(include pending) / Item or Expense / Vendor / Cost per unit/night / Number of units/nights / Total Cost
Example GPSC Club Funding / Flyers / UA Fast Copy / $.55 / 200 / $110.00
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
$ / $
Total Expenses / $
Funding Sources (include pending)
GPSC Club Funding / $
(Insert Name of Source 2) / $
(Insert Name of Source 3) / $
(Insert Name of Source 4) / $
(Insert Name of Source 5) / $
Total Funding from all Sources (Must be Greater than or Equal to Total Expenses) / $

Checklist

__ ICF Funding Application, completed

Agreement of GPSC Terms

Please type or write in yes or no after each statement. If you answer no your application will not be considered until you remedy the reasons for not reading or understanding.

I have read and understand the GPSC General Funding Guidelines:

I have read and understand all the information on the GPSC Club Funding website:

Page | 1