Dean's Council Request for Funding
NOTE: In order to receive funding from Dean's Council, you must post your event on the Pritzker calendar: https://pritzker.uchicago.edu/student-life/events

PLEASE NOTE: If you making a purchase on-site for your event, reimbursement will be based off of $7 multiplied by the number of people who attend your event, or $10 multiplied by the number of attendees if purchasing from a minority-owned business. This will be the maximum amount of money that can be reimbursed, no questions asked. If you are purchasing items before you know how many people attend your event, we recommend adhering to this budget so as not to waste funds.

PLEASE, PLEASE NOTE: EVENTS WILL ONLY BE REIMBURSED IF THIS FORM IS SUBMITTED NO LATER THAN 14 DAYS AFTER YOUR EVENT HAS OCCURRED. FOR THIS REASON, WE ADVISE TAKING A PICTURE OF YOUR RECEIPT(S) IMMEDIATELY AFTER ALL PURCHASES AND COMPLETING THE REIMBURSEMENT FORM IMMEDIATELY AFTER YOUR FINAL PURCHASE.
Sign in to Google to save your progress. Learn more
Organization & Contact Info
Organization Name(s) *
If this event will be funded by multiple organizations, please specify here how you will divide the costs
Contact Name *
Contact Email *
Describe the last event held by your group (including date and cost). *
Event Information
Event Title *
Event Description *
Date *
MM
/
DD
/
YYYY

*NEW POLICY* You must submit your request for reimbursement within 14 days of your event. Any request submitted after that 14 day window will NOT be reimbursed. We recommend taking photos of your complete receipts as soon as you have them, and submitting the reimbursement form ASAP. 

To confirm your understanding of this new policy, please indicate the last date you will be able to submit receipts for reimbursement via the Student Reimbursement Request form (link it). (Enter the date that is 14 days after your event date).

 *
MM
/
DD
/
YYYY
Time *
Time
:
Location *
Estimated Attendance *
Event Cost
Restaurant or provider *
Is the restaurant or provider minority-owned? *
Are you making purchases in advance of the event (before actual attendance is known) or during the event (when actual attendance is known)? *
Item(s) being purchased and cost *
Subtotal *
Tip OR Delivery Fee (10% of total, $20 max) *
Total Amount Requested *
Cost Per Person *
Cost cannot exceed $7/person or $10/person at a local Black-owned/Asian-owned business
I have posted my event on the Pritzker Online Calendar and it does not conflict with another major event at the requested day/time (link at top of form). *
I understand that Dean's Council will NOT pay for any items not requested here. In addition, any proposed changes to the budget after its submission must be approved by the Dean's Council Treasurer. I understand that Dean's Council will not pay for tax since student groups are eligible to use the University's Tax Exempt Status. Furthermore, I will make an attempt to utilize funding from other sources when possible (RSO, national or departmental organizations, etc.). I understand that if I do not submit the reimbursement request form by the date I have specified in the reimbursement date question of this form, I will not be reimbursed at all. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The University of Chicago. Report Abuse
Google Forms