Student Bar Association Form 106
Student Organization Request for Supplementary Allocation
Last Revised: 27 Aug 09
TEMPLE UNIVERSITY, BEASLEY SCHOOL OF LAW
STUDENT BAR ASSOCIATION
FORM 106: Student Organization Request for Supplementary Allocation
Directions. Please provide the below information to assist the Budget Committee no later than Monday, 4:00 pm the week before the scheduled event. Return this form and attached due diligence documentation, if required, to the SBA Office or to the SBA Treasurer, Michael Sinclair, .
INTRODUCTORY INFORMATION
I. Organization Name (Spell Out)______
II. Organization Officer Responsible for Finance/Budget
A. Name: ______
B. E-mail address: ______
C. Contact number (optional): ______
III. Member Making Request:
A. Name: ______
B. E-mail address: ______
C. Contact number (optional): ______
IV. Number of Members in the Organization 2009-2010 ______
V. Annual Membership Dues ($/member) ______
VI. Total Amount Remaining in Organization’s Dues Account ______
VII. Total Amount of Remaining 105 Funds ______
REQUEST SPECIFIC INFORMATION
VIII. Title of Event: ______
IX. Date of Event: ______
X. Time of Event: ______
XI. Location of Event: ______
XII. Amount Requested: ______
XIII. Describe Actual or Anticipated Fund Raising For Event:
A. Type: ______
B. Date(s): ______
C. Location: ______
XIV. Itemization Information. List the prices of each item requested AND the purpose for the item/service in relation to sponsoring the event. Such documentation includes, but is not limited to, written estimation, retailer or service provider assessment, or prior year’s receipts for the same event/item/service.
Item/Service: ______
Cost: ______
Purpose of Item/Service in Relation to Event: ______
Item/Service: ______
Cost: ______
Purpose of Item/Service in Relation to Event: ______
Item/Service: ______
Cost: ______
Purpose of Item/Service in Relation to Event: ______
Item/Service: ______
Cost: ______
Purpose of Item/Service in Relation to Event: ______
REQUESTS EXCEEDING $150.00
XV. Due Diligence Documentation.
A. ______: Multiple Quotes
Quote / Location / Cost1.
2.
B. ______: Item/Service is a Mandatory Source.
C. ______: Item/Service Provides Unique Value, Location, etc.
Explain: ______
______
______
D. ______: Other
Explain: ______
______
Signature of Organization Officer: ______
Date: ______
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