Club Funds Request "*" indicates required fields NameThis field is for validation purposes and should be left unchanged.Club Name3290 – Alpha Gamma Sigma3021 – Astronomy Club3971 – BSU3383 – Catholic Newman Club3195 – Creative Writing Club3962 – DSPS Student Council3013 – Gaming & E-Sports3030 – Honors Scholars Club3035 – Kingdom Culture Club3032 – Mock Trial Club3250 – Nursing Club (ADN)3260 – Nursing Club (NSNA)3958 – Pre-Law Society3116 – Psychology Club3122 – Puente Club3334 – QI3031 – R.A.I.C.E.S / Roots3026 – Resilience Community Club3036 – RHC Football Club3034 – Roadrunner Business Club3973- Sound Collective3033 – STEM Artists Club3011 – Student & Parent ConnectOtherOther: Enter Club Name*Enter 0000 in account number if it is unknown. Account Number*Club Member InformationName First Last Email Club President InformationName First Last Email Date of Fund Request Notification Club Advisor InformationName First Last Email Who are you requesting funds from?My ClubInter-Club CouncilAssociated StudentsUpload Meeting Minutes*Please upload minutes showing proof of approval Drop files here or Select files Max. file size: 50 MB. Was quorum present?*Quorum includes 50%+1 eligible members on the official club roster; official meetings without quorum are prohibited. Yes; Quorum was present – request is eligible to process No; Quorum was not present – request is NOT eligible to process Number of Eligible Members Present*Sign-in Sheets may be requested for final approval Number of YES votes*Sign-in Sheets may be requested for final approval Number of ABSTAIN votes*Sign-in Sheets may be requested for final approval Type of Request* Cash Advance – Check made out to Advisor Only (Must be completed at least 4 weeks in advance Reimbursement – Requires Original Itemized Receipts Only; clubs should pay to third-party vendors whenever possible (Provide receipts to ICC Advisor) Pay Third-Party Vendor – Must include original invoice and W-9 for new vendors. All orders that do not have sales tax must have the amount accounted for in the quorum vote Requesting Sponsorship From ASRHC/ICC Please Describe the Request for FundsMake Check Payable to:Please enter the Amount RequestedPayee's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Additional Supplemental Documents: Conference flyer, agenda or quote Drop files here or Select files Max. file size: 50 MB. Third Party Vendor Invoices Drop files here or Select files Max. file size: 50 MB. Scan and upload receipts, but you must submit original receipts to ICC Advisor after submitting this form Drop files here or Select files Max. file size: 50 MB. Terms & Conditions*I affirm that the information I have submitted is correct and true. I understand that providing false information may result in the Club’s account being frozen, the club being suspended, and possibly individual consequences. I acknowledge that my request is not approved until it is reviewed by Student Life and it is not a guarantee of any funds if the budget is no longer available. I Agree
