GUIDELINES FOR REQUESTING FUNDING

To be eligible for funding your student organization must 1) be officially registered

through the Student Activities Organization (SAO) and 2) have a valid and active
monetary account. All student organizations satisfying these criteria are fully welcome
to apply for funding.

PSG is charged with allocating funding in a rigorous, neutral, and fair manner. Student
organizations are thus asked to submit a detailed application to allow Purdue Student
Government to accurately evaluate the financial circumstances of your organization and
the qualifications of the request. Since funding is limited, PSG prefers to support
organized groups with well-planned events.

Consideration for and amount of funding is often based upon the following criteria:
Size of organization
Expected attendance
Venue
Proposed Budget
Requesting organization’s annual operating budget

All groups can apply for Purdue Student Government funding. Causes that PSG typically
fund include the following categories:
Direct or indirect community service
Community organization or development
Education
Well Being of the Students and/or Purdue University

Purdue Student Government usually does not fund:

Capital goods (products able to be reused following the event)
T-shirts
Food and Drink
Student lodging, travel, or gas
Student salaries
Club/Intramural Sports fees
Awards, gifts, gift certificates

To request an exemption to fund any of the above items, please refer to the Exemption
Request page. If you request any of these items without an exemption, you will not be
allowed to receive funding for said item.

Amount funded is not to exceed fifty percent of total event budget, with a co-
sponsorship limit not to exceed $1000, without senate approval.

All Applications Must Be Turned in 2 weeks ahead of time

Any Application Requiring Senate Approval Must Be Turned in 6 weeks prior to the event.

1
 Funding Application

Organization Name: ___________________________________________________

Group E-mail: _______________________________________________________
SAO Registered: YES NO BOSO Acct #_____________________

Primary Contact Name: ________________________ Title: ________________

E-mail: ______________________________________ Phone: ________________

Secondary Contact Name: ______________________ Title: ________________

E-mail: ______________________________________ Phone: ________________

Please circle any of the following which describe your group:

ACADEMIC/PRE-PROFESSIONAL CULTURAL/ETHNIC POLITICAL

ENTERTAINMENT SERVICE RELIGIOUS ATHLETIC

Describe the overall purpose of your organization and the types of activities it holds:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Number of active students: ______

Average attendance at meetings/events: _______

Is this group working with any departments or other organizations?

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Is this group affiliated with a national or parent organization?

________________________________________________________________________________

________________________________________________________________________________

2
 FINANCIAL INFORMATION
PLEASE FILL OUT ALL INFORMATION CLEARLY & CAREFULLY

Section 1 - Account Balances

Please list the balance of any accounts your group accesses. Include also the balances of any external,
commercial bank accounts the group holds (e.g. Comerica, Chase Bank, etc.)
Account Location Balance
$
$
$
Total Account Balance (sum of above columns) $

Section 2 – Funding Received And/Or Raised

Please identify ANY other funding (besides dues) that your group has or will definitely be receiving/raised
over the semester. These sources could include outside donations, national organization allocations, etc.
Funding Source Expected Amount
$
$
$
Total Expected Funding (sum of above columns) $

Section 3 – Funding Pending

Please estimate ANY other pending funding (besides dues) that your group could possibly receive over the
semester. These sources could include outside donations, national organization allocations, etc.
Funding Source Expected Amount
$
$
$
Total Pending Funding (sum of above columns) $

Section 4 – Dues

Expected Number of Dues-Paying Members (1)

Dues Charged Per Member (2) $
Total Dues Revenue {Field (1) x Field (2)} $

Cash Flow Summary

Please copy the values from the above worksheet to create your cash flow summary.
Total Account Balances (section 1) $
Total Expected Funding (section 2) $
Total Dues Revenue (section 4) $
--MINUS--
Total Projected Expenses (page 6) $
Cash Flow $

3
 FINANCIAL SUMMARY
Please attach any further information that may present a more complete financial
picture of your organization. This especially applies to club / recreational sports or
groups with exceptionally large budgets.

4
EVENT DESCRIPTION NO. [____]
Complete this page for each event. If you are holding a series of similar events, e.g., weekly
speakers or meetings, list it as one event.

Event name: _________________________________________________________

Event date(s): ________________ Event location: ______________________

Briefly describe this event. What is its overall purpose?

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Describe how this event will impact our campus and the student body.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

If applicable, please describe how the program intends to benefit Purdue through community
service, education, leadership development, and social action.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Describe how your events will include other groups or departments.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

How many participants do you expect? ________

Will you charge admission? YES NO If so, how much? ______________

Who is eligible to participate? ______________________________________

Are your date and location confirmed? YES NO

5
 BUDGET FOR EVENT NO. [____]
Please fill out this form for each corresponding event description page. List ALL expenses.

Category: Total Cost: Amount Requested:

Advertising & Publicity
(Posters, flyers, ect.)
$___________ $___________
_____________ $___________ $___________
_____________ $___________ $___________

Rental
(Facilities, equipment, ect.)
_ $___________ $___________
_____________ $___________ $___________
_____________ $___________ $___________

Entertainment Fees
(Speaker, Entertainment, Band, ect.)
_ $___________ $___________
_____________ $___________ $___________
_____________ $___________ $___________

Services Provided
(Catering, Favors, ect.)
_ $___________ $___________
_____________ $___________ $___________
_____________ $___________ $___________

Other
_ $___________ $___________
_____________ $___________ $___________
_____________ $___________ $___________

TOTAL EXPENSES $___________ $___________

6
 EXEMPTION REQUEST
Include this page if you are applying for an exemption.

Exemptions for the following goods

Capital goods (products able to be reused following the event)

T-shirts
Student lodging, travel, or gas
Food and drink
Student salaries
Club Sports fee charged by the Athletic Department
Awards, gifts, gift certificates

Briefly explain the item(s) for which you are requesting an exemption for, why you need it, and
how your situation provides reason for BPC or CSC to grant you an exemption.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Off-Campus Travel

Briefly explain where you are going, and how it will benefit students.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

7
 Purdue Student Government Appropriations Form-School Year 2009-10

In consideration of their mutual promises and agreements:

Contingent upon the allocation of funds in the Fall Term of 2009 by the Purdue Student
Government (PSG) of Purdue University, the Recipient agrees, bound by legal repercussions:

1. To use the allocation exclusively for activities previously presented to and approved by PSG.
No funding shall be provided for capital goods, t-shirts, newspaper ads, gas, Club Sports fees,
food or beverages, student airline travel, student lodging, awards, gifts, gift certificates, film, or
film processing. Exceptions to these conditions must be pre-arranged, in writing with the
PSG cabinet or Internal and Financial affairs chairman as appropriate.

2. Date Limitations

All Applications Must Be Turned in 2 weeks ahead of time

Any Application requiring Senate Approval Must Be Turned in 6 weeks prior to the event.

3. Recipient permits PSG to access records in Student Organization Accounting Services which
evidence Recipient's financial transactions - regarding the sum granted by SAO or PSG.

4. Recipient affirms that all statements made regarding its funding request are true and correct to
the best knowledge of the undersigned representatives.

6. If (1) any of the provisions of this agreement are violated by Recipient, (2) if any of the statements
of the allocation request are untrue, or (3) if any of the allocated funds are used in a manner on an
activity not previously approved by the contract, Recipient agrees to return, upon PSG's request,
an amount equal to the full amount of the grant. This shall not be construed to limit the right of
PSG to recover any additional sum that it is entitled to pursue through legal or administrative
processes.

7. Recipient agrees that failure to comply with the terms of this agreement - in any regard - may
subject Recipient and/or its members to (1) full repayment of the grant, (2) civil liabilities, and
(3) sanctions by PSG in accordance with its powers and operating procedures.

8. Statement of Guarantee:

We, the undersigned parties, agree that (1) should Recipient become liable to the PSG for
repayment of any of the funds granted and (2) should the Recipient fail to repay the funds for
which it is liable, we will personally pay to the PSG any unfulfilled debts on demand.

The below-signed representatives have read and understand this agreement; at least ONE signer must be
an SOA Authorized Signer:

___________________________ _______________ ______________

Name (Authorized Group official) Position Date

____________________________ _______________ ______________

Name (Group Member, different than above) Position Date

_____________________________________________
Group Name