Money Request Form

Money Request Form

Service Cluster Board Flex Fund Application

The Service Cluster Board (SCB) Flex Fund is a monetary resource provided by the SGA Finance Committee and administered by the SCB Flex Fund Review Committee. Its purpose is to support service initiatives of individual students, ad-hoc groups, and official student organizations by providing guidance and funding, if not already allocated in approved budgets. Examples of previously funded initiatives are: transportation to teach a foreign language at Monkton Elementary, service trips during winter and spring breaks, and dinners at a local homeless shelter.

Guidelines:

  • Applications must be submitted to at least two weeks prior to the event.
  • The need for funding must be clearly articulated and the amount carefully budgeted—“rough estimates” will not be approved.
  • Application approval must be obtained before spending funds or making a commitment to spend funds. Per standard SGA Finance Committee guidelines, the SCB Flex Fund Review Committee will not fund retroactive requests.
  • The applicant will be notified via e-mail whether the funding has been approved by the Flex Fund Review Committee.
  • If funding is granted, it is understood that it may only be spent as specified in the initial request.
  • Depending on the nature of the request, the funds will be provided as a reimbursement to a student, a direct charge to an approved Middlebury College vendor (e.g., Ben Franklin), or a transaction made on the Community Engagement procurement credit card.
  • Applications for funding must abide by policies set forth by the Student Activities Office (SAO) and the SGA Finance Committee guidelines. Exception: student service organizations may use funding for food, refreshments, and other consumables (e.g. t-shirts, prizes) when those items are necessary for the group’s service activities and germane to the organization’s mission.
  • If funded, a one-page follow-up report/reflection will be required. Pictures, if possible, would also be appreciated.

SCB Flex Fund applications are reviewed on a regular basis. A confirmation email will be sent upon receipt of your application. We look forward to working with you!

Questions?

Contact SCB Coordinators Jin Sohn and Jay or SCB Advisor Ashley Laux () in Community Engagement.

Name
Date
E-mail

Limit your responses to the space provided below.

Please describe your initiative and whom/how many it will be serving.
Date(s) of your initiative
Is there a history of this initiative? If so, was it successful? How much money was allocated/spent previously?
Please list all student organizations, community partners, and interested individuals associated with this initiative.
Why is this important to Middlebury College, Middlebury students, and/or the community?

Expenses. (please be accurate, rough estimates will not be accepted)

Itemized Expenses / Amount ($) / Comments
Subtotal

Outside Sources. Are there any other funding sources to this project (ie. Commons, Student Organization’s budget, personal, etc.)?

Funding Sources / Potential Funds ($) / Comments
Subtotal
Total Funds Requested ($)

Please attach any additional pages of explanation and itemized budget, if necessary.

Submit all forms electronically to . Thank you for your application!

Page 1 of 3Updated 09/2016

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