OSUCOM Student Council Funding Request Form

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This form allows students organizations within the College of Medicine to request funds from Student Council for OSUCOM Programming

Student Organizations will be "pre-approved" for a certain amount of funding, which will be reimbursed after submission of receipts. Requests should be filled out at least 1 week prior to the expected date of the event to ensure a timely approval.

Student Organizations will have 30 days from the time of the event to submit for reimbursement. Please email receipts to Jonathan Schmidt

Please also note that Student Organizations are capped at receiving $200 per organization per year through student council. This amount may increase pending fundraising initiatives.

For any additional questions, please contact the OSUCOM Student Council Treasurer

Jonathan Schmidt
Jonathan.Schmidt@osumc.edu

Student Organization Name *

Primary Contact Email *

President of Student Organization *

Treasurer of Student Organization *

Name of Event: *

Date of Event: *

YYYY

I have added my event to the official StuCo Calendar (link below) *

https://docs.google.com/forms/d/e/1FAIpQLSfQLbWNQXXv6HYAICymYgw615bp70iCy56h4uya70HzR4xbLQ/viewform

Yes

Other:

I am registered with main campus *

Yes

Other:

Please describe the event for which you are requesting funding: *

Please provide a breakdown of expected costs: *

Total amount of funding requested: *

Dollars

Venmo username *

Other Comments

Submit

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